Provider Demographics
NPI:1417414996
Name:LORENZINI, KIMBERLY LOVETTE (LMHC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:LOVETTE
Last Name:LORENZINI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 MONTERREY RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-1599
Mailing Address - Country:US
Mailing Address - Phone:505-814-1460
Mailing Address - Fax:
Practice Address - Street 1:RIO RANCHO FAMILY COUNSELING
Practice Address - Street 2:1340 MONTERREY RD
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124
Practice Address - Country:US
Practice Address - Phone:505-814-1460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-21
Last Update Date:2019-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMT-CTL0201991101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health