Spencer, Kimberly Gillispie

Spencer, Kimberly Gillispie is an individual health care provider with primary practice located at 100 N Pointe Blvd , Mount Airy NC 27030-2266. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Spencer, Kimberly Gillispie can be contacted via phone (336) 789-6267.

Contact Information

Primary practice address
100 N Pointe Blvd Mount Airy NC 27030-2266
Phone: (336) 789-6267
Fax: (336) 786-4245
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 3825 North Carolina

Profile Details

NPI number 1750301321
LBN Legal business name Spencer, Kimberly Gillispie
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Mar 23rd, 2016 - about 9 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 1750301321 NPPES
North Carolina MEDICAID 6103096

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