MEREDITH LEIGH KIMBROUGH


Address: 31 E Center St Ste 210, Fayetteville, AR 72701-5391
Phone: 5136554459

MEREDITH LEIGH KIMBROUGH (NPI# 1194359182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194359182
Entity Type Individual
Full Name MEREDITH LEIGH KIMBROUGH
Credential MS, LAC
Practice Address 31 E Center St Ste 210
Fayetteville
AR 72701-5391
Practice Telephone 5136554459
Mailing Telephone 5136554459
Enumeration Date 2020-02-27
Last Update Date 2020-02-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
A2002037 AR Behavioral Health & Social Service Providers

Office Location

Street Address 31 E CENTER ST STE 210
City FAYETTEVILLE
State AR
Zip Code 72701-5391

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City FAYETTEVILLE
Zip Code 72701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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