KIMBERLY ANN PRINCE KOROBOV MA, M.DIV, LPC, NCC
NPI 1407247000
Counselor - Professional in Carrollton, GA
- Individual
- Female
- Counselor
- Professional
About KIMBERLY PRINCE KOROBOV
This page provides the complete NPI Profile along with additional information for Kimberly Prince Korobov, a provider established in Carrollton, Georgia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1407247000 assigned on February 2015. The practitioner's primary taxonomy code is 101YP2500X with license number LPC008278 (GA). The provider is registered as an individual and her NPI record was last updated 11 years ago.
- NPI
- 1407247000 Verify this NPI
- Provider Name
- KIMBERLY ANN PRINCE KOROBOV MA, M.DIV, LPC, NCC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 309 TANNER ST CARROLLTON, GA 30117
- Location Phone
- (678) 346-5027
- Location Fax
- (770) 834-1865
- Mailing Address
- 309 TANNER ST CARROLLTON, GA 30117
- Mailing Phone
- (678) 346-5027
- Mailing Fax
- (770) 834-1865
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-18-2015
- Last Update Date
- 02-18-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPC008278
- License State
- GA
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Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407247000, enumerated as an "individual" on February 18, 2015.
The provider is located at 309 TANNER ST CARROLLTON, GA 30117 and the phone number is (678) 346-5027.
Counselor with taxonomy code 101YP2500X and a focus in Professional.