Youmans, Kimberly A
Youmans, Kimberly A is an sole proprietor health care provider with primary practice located at 693 Bloomfield Ave Suite 301, Bloomfield CT 06002-2489. She recently has 2 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 / Professional is her primary health care specialty. Youmans, Kimberly A can be contacted via phone (860) 243-6854.Contact Information
Primary practice address
693 Bloomfield Ave Suite 301
Bloomfield CT 06002-2489
Phone: (860) 243-6854
Fax: (860) 243-6591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1212 | Connecticut |
Profile Details
| NPI number | 1487677738 |
|---|---|
| LBN Legal business name | Youmans, Kimberly A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Dec 29th, 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 | 1487677738 | NPPES |
| Connecticut | MEDICAID | 004218972 |
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