Provider Demographics
NPI:1639672132
Name:PARMER, KIMBERLEE ANNE (LPC , LCDC)
Entity Type:Individual
Prefix:
First Name:KIMBERLEE
Middle Name:ANNE
Last Name:PARMER
Suffix:
Gender:F
Credentials:LPC , LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20442 BARREL RUN DR
Mailing Address - Street 2:
Mailing Address - City:HOCKLEY
Mailing Address - State:TX
Mailing Address - Zip Code:77447-2004
Mailing Address - Country:US
Mailing Address - Phone:281-924-1876
Mailing Address - Fax:
Practice Address - Street 1:20442 BARREL RUN DR
Practice Address - Street 2:
Practice Address - City:HOCKLEY
Practice Address - State:TX
Practice Address - Zip Code:77447-2004
Practice Address - Country:US
Practice Address - Phone:281-924-1876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX914101YA0400X
TX75192101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)