Michael Kimball Integrative Psychotherapy

LBN: Michael Kimball Integrative Psychotherapy
Michael Kimball Integrative Psychotherapy is an health care organization with primary practice located at 6635 W Central Ave , Toledo OH 43617-1029. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Michael Kimball Integrative Psychotherapy can be contacted via phone (419) 517-0105, or through Kimball, Michael via phone (734) 693-0554.

Contact Information

Primary practice address
6635 W Central Ave Toledo OH 43617-1029
Phone: (419) 517-0105
Fax: (419) 517-1349
Website:
Map and Directions
Authorized official contact:
Name: Kimball, Michael PSY.D.
Phone: (734) 693-0554

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1346976891
LBN Legal business name Michael Kimball Integrative Psychotherapy
DBA Doing business as
Authorized official Kimball, Michael PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2022
Last updated Aug 5th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346976891 NPPES
Ohio MEDICAID 0294590

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