Individual
KIMBERLY HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3278 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Mailing address
3287 MITCHELL BLVD, MOODY AFB, GA 31699-1500
(229) 257-2778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18666
FL
1041C0700X
Clinical Social Worker
CSW009282
GA
1041C0700X
Clinical Social Worker
ISW13681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114056400
—
FL
01
—
1366116873
MINDFULNESS EXPRESSIONS LLC
FL
Enumeration date
02/27/2021
Last updated
11/18/2025
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