Ferguson, Kim

Ferguson, Kim is an sole proprietor health care provider with primary practice located at 4425 Groom Rd , Baker LA 70714. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ferguson, Kim can be contacted via phone (225) 767-5699.

Contact Information

Primary practice address
4425 Groom Rd Baker LA 70714
Phone: (225) 767-5699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1043691470
LBN Legal business name Ferguson, Kim
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2015
Last updated Jul 30th, 2018 - about 6 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 1043691470 NPPES
Louisiana MEDICAID 32-1417378

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