Lichte-Madakasira, Kimberly A.

Lichte-Madakasira, Kimberly A. is an sole proprietor health care provider with primary practice located at 2540 Flowood Dr , Flowood MS 39232-9362. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Lichte-Madakasira, Kimberly A. can be contacted via phone (601) 939-5993.

Contact Information

Primary practice address
2540 Flowood Dr Flowood MS 39232-9362
Phone: (601) 939-5993
Fax: (601) 939-5935
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0799 Mississippi
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0220 Mississippi

Profile Details

NPI number 1356502165
LBN Legal business name Lichte-Madakasira, Kimberly A.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2008
Last updated Jun 24th, 2008 - about 17 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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