Cook, Kimberly Lynn
Cook, Kimberly Lynn is an individual health care provider with primary practice located at 1201 S Seminole Dr , Chattanooga TN 37412-1135. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cook, Kimberly Lynn can be contacted via phone (423) 486-0774.Contact Information
Primary practice address
1201 S Seminole Dr
Chattanooga TN 37412-1135
Phone: (423) 486-0774
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW007326 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11609 | Maryland |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 68 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904009757 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 239 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C012712 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 120220 | Iowa |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6757 | Tennessee |
Profile Details
| NPI number | 1235188491 |
|---|---|
| LBN Legal business name | Cook, Kimberly Lynn |
| Credentials | LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Oct 11th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235188491 | NPPES |
| Georgia | MEDICAID | 003213184C | |
| Georgia | MEDICAID | Q048467 | |
| Georgia | MEDICAID | 215422ZDV | |
| Georgia | MEDICAID | 447380900 |
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