Kimbrew, Bonita Croom

Kimbrew, Bonita Croom is an sole proprietor health care provider with primary practice located at 120 Greenwell Dr , Hampton VA 23666-1731. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kimbrew, Bonita Croom can be contacted via phone (757) 766-1711.

Contact Information

Primary practice address
120 Greenwell Dr Hampton VA 23666-1731
Phone: (757) 766-1711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904004147 Virginia
Behavioral Health & Social Service Providers / School 1041S0200X PPS337705 Virginia

Profile Details

NPI number 1104267228
LBN Legal business name Kimbrew, Bonita Croom
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2013
Last updated Jul 17th, 2013 - about 13 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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