Organization
KBCCMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LINNE BOYD MS, LPC (OWNER)
(832) 233-3086
Entity
Organization
Contact information
Practice address
1501 JACKSON AVE W STE 113, OXFORD, MS 38655-2566
(832) 233-3086
(832) 415-3050
Mailing address
PO BOX 5857, KINGWOOD, TX 77325-5857
(832) 233-3086
(832) 415-3050
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193200000X
TAXONOMY
—
Enumeration date
10/20/2020
Last updated
10/20/2020
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