Organization
COUNSEL WITH KIM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BRULAY LMHC (OWNER)
(863) 899-9069
Entity
Organization
Contact information
Practice address
1543 LAKELAND HILLS BLVD STE 7, LAKELAND, FL 33805-3246
(863) 648-9749
(863) 648-9749
Mailing address
618 EAGLE RUN, LAKELAND, FL 33809-5634
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MH13783
FL
Other
Enumeration date
03/14/2018
Last updated
06/11/2019
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