Desoto, Kimberly D

Desoto, Kimberly D is an sole proprietor health care provider with primary practice located at 728 Ashwood Ln , Moore OK 73160-8717. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Desoto, Kimberly D can be contacted via phone (817) 822-7057.

Contact Information

Primary practice address
728 Ashwood Ln Moore OK 73160-8717
Phone: (817) 822-7057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH12221 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH12221 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 5870 Oklahoma
Behavioral Health & Social Service Providers / Professional 101YP2500X MH 12221 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X MH12221 Florida

Profile Details

NPI number 1114291499
LBN Legal business name Desoto, Kimberly D
Credentials MS, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2012
Last updated Jan 8th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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