Provider Demographics
NPI:1659471928
Name:STEED, KIMBERLY L (LPC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:L
Last Name:STEED
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-4566
Mailing Address - Country:US
Mailing Address - Phone:910-738-8558
Mailing Address - Fax:910-738-8515
Practice Address - Street 1:805 N FRANKLIN ST
Practice Address - Street 2:SUITE 8
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-2703
Practice Address - Country:US
Practice Address - Phone:910-640-1040
Practice Address - Fax:910-640-1040
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102413Medicaid