Individual provider · Type 1 NPI

Kimberly Renee' Ford, LCMHC, LPC, LCAS-A

Mental Health Counselor · Winston Salem, NC

NPI number 1881010635 Active

Practice location

175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951

Fax (336) 277-1825

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 3818 N Elm St Ste E, Greensboro, NC 27455-2778 · (336) 545-5995

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X9273 (NC)
Professional Counselor 101YP2500X9273 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X3547 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1881010635

Kimberly Renee' Ford, LCMHC, LPC, LCAS-A's National Provider Identifier is 1881010635, issued on Mar 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 19, 2024.