Organization
MOOD BY KIM
Active
Other names
Kimberly Cochran
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY COCHRAN PHD APRN PMHNP-BC (OWNER/PROVIDER)
(623) 777-7551
Entity
Organization
Contact information
Practice address
7901 4TH ST N STE 300, ST PETERSBURG, FL 33702-4399
(623) 777-7551
(623) 666-6612
Mailing address
8194 W DEER VALLEY RD STE 106, PEORIA, AZ 85382-2127
(623) 777-7551
(623) 666-6612
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06543815
—
NY
05
—
2156425
—
WA
05
—
993686
—
AZ
Enumeration date
03/08/2020
Last updated
08/06/2024
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