Bird, Kimberly Dawn

Bird, Kimberly Dawn is an individual health care provider with primary practice located at 100 W Dean Keeton St , Austin TX 78712-1091. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bird, Kimberly Dawn can be contacted via phone (512) 796-6576.

Contact Information

Primary practice address
100 W Dean Keeton St Austin TX 78712-1091
Phone: (512) 796-6576
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 004810-005277 Texas
Behavioral Health & Social Service Providers / Professional 101YP2500X 15836 Texas

Profile Details

NPI number 1912113341
LBN Legal business name Bird, Kimberly Dawn
Credentials LMFT, LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Nov 3rd, 2021 - about 5 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 1912113341 NPPES
Texas Other 468LLC BLUE CROSS BLUE SHIELD TEXAS
Texas MEDICAID 2903981 BLUE CROSS BLUE SHIELD TEXAS

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