Hogan, Kimberly Ann
Hogan, Kimberly Ann is an sole proprietor health care provider with primary practice located at 1574 Sw Fresno Rd , Port Saint Lucie FL 34953-4329. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Hogan, Kimberly Ann can be contacted via phone (772) 634-0470.Contact Information
Primary practice address
1574 Sw Fresno Rd
Port Saint Lucie FL 34953-4329
Phone: (772) 634-0470
Fax: (772) 634-0470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1538454764 |
|---|---|
| LBN Legal business name | Hogan, Kimberly Ann |
| Credentials | M.S. MFC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2011 |
| Last updated | Jun 15th, 2011 - about 15 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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