Kimberly Cochran | |
7901 4th St N Ste 300 St Petersburg FL 33702-4399 | |
(623) 777-7551 | |
(623) 666-6612 |
Full Name | Kimberly Cochran |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 7901 4th St N Ste 300, St Petersburg, Florida |
Authorized Official Name and Position | Kimberly Cochran (OWNER/PROVIDER) |
Authorized Official Contact | 6237777551 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kimberly Cochran 8194 W Deer Valley Rd Ste 106 Peoria AZ 85382-2127 Ph: (623) 777-7551 | Kimberly Cochran 7901 4th St N Ste 300 St Petersburg FL 33702-4399 Ph: (623) 777-7551 |
NPI Number | 1497380604 |
---|---|
Provider Enumeration Date | 03/08/2020 |
Last Update Date | 08/06/2024 |
Certification Date | 08/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497380604 | NPI | - | NPPES |
993686 | Medicaid | AZ | |
06543815 | Medicaid | NY | |
2156425 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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