KIMBALL TATE
NPI 1386186039
Counselor in Bastrop, LA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since November 12, 2016

209 W JEFFERSON AVE, BASTROP, LA 71220(318) 239-3890 Get Directions Write a Review

NPPES record last updated: November 12, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kimball Tate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBALL TATE (NPI 1386186039) is an individual counselor in Bastrop, Louisiana and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1386186039

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameKIMBALL TATE

Location Address209 W JEFFERSON AVEBastrop, LA 71220-4543

Mailing Address209 W Jefferson AveBastrop, LA 71220-4543 · (318) 239-3890

Phone(318) 239-3890

Sole ProprietorNo

Enumeration DateNovember 12, 2016

✔ NPI 1386186039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

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.

209 W JEFFERSON AVE, Bastrop, LA 71220

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