Moldt, Kimberly Queen

Moldt, Kimberly Queen is an sole proprietor health care provider with primary practice located at 12600 Belcher Rd S Unit 106F , Largo FL 33773-1643. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Moldt, Kimberly Queen can be contacted via phone (727) 492-3872.

Contact Information

Primary practice address
12600 Belcher Rd S Unit 106F Largo FL 33773-1643
Phone: (727) 492-3872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8213 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC1452 West Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT2124 Florida

Profile Details

NPI number 1073710307
LBN Legal business name Moldt, Kimberly Queen
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2007
Last updated Jul 8th, 2007 - 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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