Pavlak, Kimberley

Pavlak, Kimberley is an individual health care provider with primary practice located at 1513 Reynolds Mill Rd , Wake Forest NC 27587-5613. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Pavlak, Kimberley can be contacted via phone (984) 230-9687.

Contact Information

Primary practice address
1513 Reynolds Mill Rd Wake Forest NC 27587-5613
Phone: (984) 230-9687
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 25270 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 13749 North Carolina

Profile Details

NPI number 1073094389
LBN Legal business name Pavlak, Kimberley
Credentials LCMHC, LCAS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2018
Last updated Oct 1st, 2023 - about 3 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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