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Kimberly Lynn Childress, MA,LPC,LCMHCS
Mental Health Counselor in Charlotte, North Carolina
NPI 1043675275

Kimberly Lynn Childress is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Kimberly Lynn Childress practices in Charlotte, NC and has the professional credentials of MA,LPC,LCMHCS. The NPI Number for Kimberly Lynn Childress is 1043675275 and holds a License No. 6208 (North Carolina).

The current practice location address for Kimberly Lynn Childress is 10430 Harris Oak Blvd Ste L, Charlotte, NC and can be reached out via phone at 704-360-3637 and via fax at 704-200-9829.

Location: 10430 Harris Oak Blvd Ste L, Charlotte, NC, 28269-7513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043675275
Provider Name
Kimberly Lynn Childress
Credential
MA,LPC,LCMHCS
Provider Entity Type
Individual
Gender
Female
Address
10430 Harris Oak Blvd Ste L, Charlotte, NC, 28269-7513
Phone Number
704-360-3637
Fax Number
704-200-9829
Provider Enumeration Date
12/14/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EJ7GST1IO450JIH 05 SC
institution
Provider Business Practice Location Address Details
Address
10430 Harris Oak Blvd Ste L
City
Charlotte
State
North Carolina
Zip
28269-7513
Phone Number
704-360-3637
Fax Number
704-200-9829
person
Provider Business Mailing Address Details
Address
10430 Harris Oak Blvd Ste L
City
Charlotte
State
North Carolina
Zip
28269-7513
Phone Number
704-360-3637
Fax Number
704-200-9829
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
S15220 (North Carolina)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6208 (South Carolina)
Definition
Definition to come...
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