Bradshaw, Kimberly Smith

Bradshaw, Kimberly Smith is an sole proprietor health care provider with primary practice located at 2503 Bonnie Ave , Bastrop LA 71220-4173. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Bradshaw, Kimberly Smith can be contacted via phone (318) 516-4065.

Contact Information

Primary practice address
2503 Bonnie Ave Bastrop LA 71220-4173
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15704 Louisiana
Behavioral Health & Social Service Providers / Social Worker 104100000X 15704 Louisiana

Profile Details

NPI number 1952773574
LBN Legal business name Bradshaw, Kimberly Smith
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2015
Last updated Dec 30th, 2022 - 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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