| Counsel With Kim Llc | |
|
1543 Lakeland Hills Blvd Ste 7 Lakeland FL 33805-3246 | |
| (863) 648-9749 | |
| (863) 648-9749 |
| Full Name | Counsel With Kim Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1543 Lakeland Hills Blvd Ste 7, Lakeland, Florida |
| Authorized Official Name and Position | Kim Brulay (OWNER) |
| Authorized Official Contact | 8638999069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counsel With Kim Llc 618 Eagle Run Lakeland FL 33809-5634 Ph: () - | Counsel With Kim Llc 1543 Lakeland Hills Blvd Ste 7 Lakeland FL 33805-3246 Ph: (863) 648-9749 |
| NPI Number | 1154824266 |
|---|---|
| Provider Enumeration Date | 03/14/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154824266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MH13783 (Florida) | Primary |
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