Individual
KIMBERLY M FLEMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8018 HIGHWAY 23, SUITE 210, BELLE CHASSE, LA 70037
(504) 391-3282
(504) 391-3482
Mailing address
556 COMMERCE ST, TERRYTOWN, LA 70056-7317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1194221
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10588
PCA
LA
01
—
10589
SIL
LA
05
—
1194221
—
LA
Enumeration date
07/24/2006
Last updated
07/08/2007
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