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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750301321 | NPPES |
| North Carolina | MEDICAID | 6103096 |
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