Kimball, Alison M

Kimball, Alison M is an sole proprietor health care provider with primary practice located at 324 W Bearss Ave Suite B, Tampa FL 33613-1228. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kimball, Alison M can be contacted via phone (888) 899-7736.

Contact Information

Primary practice address
324 W Bearss Ave Suite B Tampa FL 33613-1228
Phone: (888) 899-7736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 10074 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X SW 10074 Florida

Profile Details

NPI number 1134408354
LBN Legal business name Kimball, Alison M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2011
Last updated Apr 8th, 2014 - about 10 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 1134408354 NPPES
Florida MEDICAID 004066100

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