Provider Demographics
NPI:1508302738
Name:HOOSS, LMHC, KIMBERLY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:
Last Name:HOOSS, LMHC
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 1:5655 48TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1301
Mailing Address - Country:US
Mailing Address - Phone:206-641-0113
Mailing Address - Fax:206-539-2871
Practice Address - Street 1:5655 48TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1301
Practice Address - Country:US
Practice Address - Phone:206-641-0113
Practice Address - Fax:206-539-2871
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-11
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61064838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health