Kimberly Jill Smith, LPC | |
620 Stoneglen Dr Ste B, Keller, TX 76248-3625 | |
(817) 562-8800 | |
Not Available |
Full Name | Kimberly Jill Smith |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 620 Stoneglen Dr Ste B, Keller, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023890811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 67884 (Texas) | Primary |
Entity Name | Redefine Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134773997 PECOS PAC ID: 4284071879 Enrollment ID: O20240319000557 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Jill Smith, LPC 3308 Rivermoor Ct, Fort Worth, TX 76116-9562 Ph: (254) 855-5147 | Kimberly Jill Smith, LPC 620 Stoneglen Dr Ste B, Keller, TX 76248-3625 Ph: (817) 562-8800 |
Darlene Ella Vanchura, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5751 Kroger Dr, Suite 235, Keller, TX 76248 Phone: 817-371-4312 | |
Michael David Webb, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1858 Keller Pkwy, Suite D, Keller, TX 76248 Phone: 817-791-5703 | |
Mr. Robert G Harwell, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 N Main St, #a, Keller, TX 76248 Phone: 817-337-1603 Fax: 817-337-1604 | |
Katherine Leath, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 S Main St Ste 1, Keller, TX 76248 Phone: 817-999-6410 | |
Mrs. Kate Ann Mann, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 Keller Pkwy, Suite B302, Keller, TX 76248 Phone: 817-562-8731 Fax: 817-562-8222 | |
Melisa Valeri Elieson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1664 Keller Pkwy, Suite 100, Keller, TX 76248 Phone: 817-854-3201 Fax: 817-854-3201 |