KIMBERLY BETHEA (NPI# 1700244837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700244837 |
| Entity Type | Individual |
| Full Name | KIMBERLY BETHEA |
| Practice Address |
51 Childrens Way Enterprise FL 32725-8135 |
| Mailing Address |
110 Queens Ct Sanford FL 32771-7766 |
| Practice Telephone | 3866684774 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH15599 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Queens Ct, Sanford, FL 327717766 | 4079423581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366973216 | Kimberly Brooke Bethea | Family Medicine | 10675a Loveland Madeira Rd, Loveland, OH 45140-8965 | 2017-03-22 |
| Street Address |
51 CHILDRENS WAY |
| City | ENTERPRISE |
| State | FL |
| Zip Code | 32725-8135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932194073 | Diahann Suchan | Marriage & Family Therapist | 51 Childrens Way, Enterprise, FL 32725-8135 | 2005-09-14 |
| 1982237483 | Florida United Methodist Childrens Home, Inc. | Case Management | 51 Childrens Way, Enterprise, FL 32725-8135 | 2020-02-13 |
| 1376173450 | Alphonza Bernard Bush Jr. | Case Manager/Care Coordinator | 51 Childrens Way, Enterprise, FL 32725-8135 | 2020-01-17 |
| 1780244152 | Debra Suto-henry | Social Worker | 51 Childrens Way, Enterprise, FL 32725-8135 | 2019-06-18 |
| 1578943890 | Cynthia Laughrun | Registered Nurse | 51 Childrens Way, Enterprise, FL 32725-8135 | 2015-06-02 |
| 1215337704 | Kisha Ann Alvarez | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2014-09-03 |
| 1629493291 | Kaylee Kathryn Vance | Counselor | 51 Childrens Way, Enterprise, FL 32725 | 2014-02-19 |
| 1902240864 | Stacey Dietrich | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2013-04-23 |
| 1124371752 | Anita M. Tulloch | Marriage & Family Therapist | 51 Childrens Way, Enterprise, FL 32725 | 2012-10-19 |
| 1699023739 | Florida United Methodist Children's Home | Counselor | 51 Childrens Way, Enterprise, FL 32725-8135 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
| 1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
| 1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
| 1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
| 1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
| 1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
| 1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
| 1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
| 1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
| 1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
| Find all providers in zip 32725 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124539275 | Allen Schnetzky | Counselor | 207 Sw First St, Enterprise, OR 97828 | 2017-10-17 |
| 1851842629 | Nancy Tikunoff | Counselor | 274 Stone Island Rd, Enterprise, FL 32725-2421 | 2016-10-17 |
| 1578790838 | Lisa Marie Patrick | Counselor | 210 E Grubbs St, Enterprise, AL 36330-2646 | 2009-06-15 |
| 1861637258 | Allen Jean Washington Sr. | Counselor | 51 Children Way, Enterprise, FL 32725 | 2008-12-12 |
| 1265559967 | Reginald B Walker | Counselor | 2861 Neal Metcalf Rd, Enterprise, AL 36330-8003 | 2007-03-26 |
| 1114958733 | Virgil Allen Freet | Counselor | Icas, Inc., 1275 James Drive Suite A, Enterprise, AL 36330 | 2006-07-05 |
| 1427696699 | Hilary Miller | Counselor | 301 W Main St, Enterprise, OR 97828 | 2019-12-18 |
| 1578116653 | Michelle Jewel Mcmillan | Counselor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-07-18 |
| 1215598735 | Kathryn Elizabeth Kemp | Counselor | 207 Sw 1st St, Enterprise, OR 97828-1203 | 2019-06-25 |
| 1740754548 | Taylor Km Wilde | Counselor | 204 N Main St, Enterprise, AL 36330-2539 | 2019-01-15 |
| Find all providers in ENTERPRISE | ||||
| City | ENTERPRISE |
| Zip Code | 32725 |
Please comment or provide details below to improve the information on KIMBERLY BETHEA.
| 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.