| Kimmil Hollis, LMFT | |
|
4696 Green Pine Ln, Paso Robles, CA 93446-4100 | |
| (909) 368-9796 | |
| Not Available |
| Full Name | Kimmil Hollis |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 4696 Green Pine Ln, Paso Robles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487045043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 108364 (California) | Primary |
| Entity Name | Soultenders Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimmil Hollis, LMFT 4696 Green Pine Ln, Paso Robles, CA 93446-4100 Ph: (909) 368-9796 | Kimmil Hollis, LMFT 4696 Green Pine Ln, Paso Robles, CA 93446-4100 Ph: (909) 368-9796 |
Lauren Phelps, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1244 Pine St Ste 202, Paso Robles, CA 93446 Phone: 805-369-1038 | |
Ms. Nicole Kafenhaus Williams, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 911 21st Street, Suite 202, Paso Robles, CA 93446 Phone: 831-222-0132 | |
Dr. Philip Joseph Lucas, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1104 Vine St Ste A, Paso Robles, CA 93446 Phone: 805-227-4500 Fax: 805-227-4544 | |
Miss Maria Guadalupe Martinez, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 416 Spring St, 201, Paso Robles, CA 93446 Phone: 805-238-7250 Fax: 805-238-0165 | |
Brenda Sue Russell, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 911 21st St Ste 205, Paso Robles, CA 93446 Phone: 805-441-3882 | |
Rebecca Jean Zemke, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 810 Vista Cerro Dr, Paso Robles, CA 93446 Phone: 805-712-2213 | |
Jamie Ann Stuart, MS, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1140 Railroad St, Paso Robles, CA 93446 Phone: 805-835-5411 |