Mendoza, Kimberly Jayne

Mendoza, Kimberly Jayne is an sole proprietor health care provider with primary practice located at 1612 Cocoa Bay Blvd , Cocoa FL 32926-4701. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mendoza, Kimberly Jayne can be contacted via phone (321) 508-4903.

Contact Information

Primary practice address
1612 Cocoa Bay Blvd Cocoa FL 32926-4701
Phone: (321) 508-4903
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X MH16864 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH16864 Florida

Profile Details

NPI number 1588315907
LBN Legal business name Mendoza, Kimberly Jayne
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2022
Last updated Jan 18th, 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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