Kimberly Cochran
LBN: Mood By Kim
Kimberly Cochran is an health care organization with primary practice located at 7901 4Th St N Ste 300 , St Petersburg FL 33702-4399. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Mood By Kim can be contacted via phone (623) 777-7551, or through Cochran, Kimberly via phone (623) 777-7551.
Contact Information
Primary practice address
7901 4Th St N Ste 300
St Petersburg FL 33702-4399
Phone: (623) 777-7551
Fax: (623) 666-6612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ||
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1497380604 |
|---|---|
| LBN Legal business name | Mood By Kim |
| DBA Doing business as | Kimberly Cochran |
| Authorized official | Cochran, Kimberly PHD APRN PMHNP-BC |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 8th, 2020 |
| Last updated | Sep 25th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497380604 | NPPES |
| Washington | MEDICAID | 2156425 | |
| Washington | MEDICAID | 06543815 | |
| Washington | MEDICAID | 993686 |
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