Mendoza, Kimberly Jayne
Mendoza, Kimberly Jayne is an sole proprietor health care provider with primary practice located at 1612 Cocoa Bay Blvd , Cocoa FL 32926-4701. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mendoza, Kimberly Jayne can be contacted via phone (321) 508-4903.Contact Information
Primary practice address
1612 Cocoa Bay Blvd
Cocoa FL 32926-4701
Phone: (321) 508-4903
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | MH16864 | Florida |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH16864 | Florida |
Profile Details
NPI number | 1588315907 |
---|---|
LBN Legal business name | Mendoza, Kimberly Jayne |
Credentials | LMHC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 18th, 2022 |
Last updated | Jan 18th, 2022 - about 2 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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