Bland, Kimberly Gene

Bland, Kimberly Gene is an sole proprietor health care provider with primary practice located at 400 Shadow Ln Ste 106 , Las Vegas NV 89106-4355. She 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 / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Bland, Kimberly Gene can be contacted via phone (702) 731-0909.

Contact Information

Primary practice address
400 Shadow Ln Ste 106 Las Vegas NV 89106-4355
Phone: (702) 731-0909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 394-L Nevada
Behavioral Health & Social Service Providers / Professional 101YP2500X CPC 0024 Nevada
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 01197 Nevada

Profile Details

NPI number 1699956706
LBN Legal business name Bland, Kimberly Gene
Credentials CPC; MFT; QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2007
Last updated Nov 8th, 2019 - 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 1699956706 NPPES
Nevada MEDICAID 1699956706

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