Individual
KIMBERLY MARIE SPEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
205 LAKE TOWER DR., HAMPTON, VA 23666
(757) 838-8520
Mailing address
4132 STONEWOOD LN, WILLIAMSBURG, VA 23188-8016
(757) 208-1421
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003898
VA
106H00000X
Marriage & Family Therapist
0717001103
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294478
BLUE CROSS BLUE SHIELD
VA
01
—
383405
TRICARE
VA
01
—
O802678M
OPTIMA
VA
Enumeration date
05/11/2007
Last updated
09/11/2025
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