Green, Kimberly D.

Green, Kimberly D. is an sole proprietor health care provider with primary practice located at 667 Spring Drive Ext , Winston Salem NC 27107-9788. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Green, Kimberly D. can be contacted via phone (253) 225-5418.

Contact Information

Primary practice address

667 Spring Drive Ext Winston Salem NC 27107-9788

Phone: (253) 225-5418

Fax: (877) 410-5513

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Marriage & Family Therapist	106H00000X	LF00002194	Washington

Profile Details

NPI number	1275514077
LBN Legal business name	Green, Kimberly D.
Credentials	M.ED, LMFT
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Nov 9th, 2005
Last updated	Jul 7th, 2022 - about 4 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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Identifiers

State	Type	Number	Issuer
All States	NPI	1275514077	NPPES
Washington	MEDICAID	1091299

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