Pearce, Kimber Charles

Pearce, Kimber Charles is an sole proprietor health care provider with primary practice located at 200 Tarpon Trl , Jacksonville NC 28546-5287. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Pearce, Kimber Charles can be contacted via phone (910) 938-1114.

Contact Information

Primary practice address
200 Tarpon Trl Jacksonville NC 28546-5287
Phone: (910) 938-1114
Fax: (910) 938-1118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1297 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7036 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 7036 North Carolina

Profile Details

NPI number 1912163254
LBN Legal business name Pearce, Kimber Charles
Credentials MS, LPC, LCAS, CRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2008
Last updated Apr 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912163254 NPPES
North Carolina MEDICAID 6103995
North Carolina Other 444429
North Carolina Other 1525J

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