Kimbrell, Madison

Kimbrell, Madison is an individual health care provider with primary practice located at 118 Village St Ste A , Slidell LA 70458-5302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Kimbrell, Madison can be contacted via phone (985) 781-4444.

Contact Information

Primary practice address
118 Village St Ste A Slidell LA 70458-5302
Phone: (985) 781-4444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1508640533
LBN Legal business name Kimbrell, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2023
Last updated May 7th, 2024 - about 2 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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