Neese, Kim L

Neese, Kim L is an sole proprietor health care provider with primary practice located at 406 Ridley Ave , Lagrange GA 30240-2232. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Neese, Kim L can be contacted via phone (706) 594-1192.

Contact Information

Primary practice address
406 Ridley Ave Lagrange GA 30240-2232
Phone: (706) 594-1192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 423 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC007660 Georgia

Profile Details

NPI number 1659776912
LBN Legal business name Neese, Kim L
Credentials LPC, BCCC, CADC II,
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2014
Last updated Dec 28th, 2021 - about 3 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 1659776912 NPPES
Georgia MEDICAID 003169076A

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