| Kimball Counseling Pc | |
|
258 N Main St Ste A Waynesville NC 28786-3812 | |
| (828) 246-6100 | |
| (828) 246-6100 |
| Full Name | Kimball Counseling Pc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 258 N Main St, Waynesville, North Carolina |
| Authorized Official Name and Position | Susan Penney Kimball (OWNER) |
| Authorized Official Contact | 8282466100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimball Counseling Pc 1077 Fern Trl Waynesville NC 28786-9706 Ph: (828) 246-6100 | Kimball Counseling Pc 258 N Main St Ste A Waynesville NC 28786-3812 Ph: (828) 246-6100 |
| NPI Number | 1134539364 |
|---|---|
| Provider Enumeration Date | 04/28/2014 |
| Last Update Date | 04/28/2014 |
| Medicare PECOS PAC ID | 3779716733 |
|---|---|
| Medicare Enrollment ID | O20140429001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134539364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | C008384 (North Carolina) | Primary |
| Provider Name | Susan Penney Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336494210 PECOS PAC ID: 2769615723 Enrollment ID: I20140429001298 |
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