Provider Demographics
NPI:1588012017
Name:HERRERA, KIM MOROCHNICK (LMHC)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:MOROCHNICK
Last Name:HERRERA
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 1:24 LEYDEN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5027
Mailing Address - Country:US
Mailing Address - Phone:978-609-4654
Mailing Address - Fax:
Practice Address - Street 1:16 HARWOOD ST
Practice Address - Street 2:
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-4108
Practice Address - Country:US
Practice Address - Phone:978-681-9890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2021-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12238101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health