KIMBERLY WOMACK LMHC
NPI 1013683853
Counselor - Mental Health in San Pedro, CA
Active since August 20, 2021
About Kimberly Womack Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WOMACK LMHC (NPI 1013683853) is an individual mental health provider in San Pedro, California, licensed in New York (001520) and active in the NPI registry since August 2021.
NPPES Registry Identity
NPI1013683853
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY WOMACKCredential: LMHC
Location Address677 W 15TH STSan Pedro, CA 90731-4706
Mailing Address677 W 15th StSan Pedro, CA 90731-4706 · (716) 998-3170
Phone(716) 998-3170
Sole ProprietorYes
Enumeration DateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
✔ NPI 1013683853 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 001520
677 W 15TH ST, San Pedro, CA 90731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013683853, enumerated as an "individual" on August 20, 2021.
The provider is located at 677 W 15TH ST SAN PEDRO, CA 90731 and the phone number is (716) 998-3170.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
