Fish, Kim Maxwell

Fish, Kim Maxwell is an individual health care provider with primary practice located at 3948 New Vision Dr Ste D , Fort Wayne IN 46845-1721. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Fish, Kim Maxwell can be contacted via phone (260) 407-7285.

Contact Information

Primary practice address
3948 New Vision Dr Ste D Fort Wayne IN 46845-1721
Phone: (260) 407-7285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I 0800371 Ohio
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 39000977A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004143A Indiana

Profile Details

NPI number 1093869133
LBN Legal business name Fish, Kim Maxwell
Credentials LCSW, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Feb 25th, 2011 - about 13 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.

Request for update

Popular Providers