Provider Demographics
NPI:1821743329
Name:HART, KIMBERLY ELIZABETH (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KIMBERLY
Middle Name:ELIZABETH
Last Name:HART
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 1:7071 MIDWAY TER UNIT 1
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472-4344
Mailing Address - Country:US
Mailing Address - Phone:407-276-1144
Mailing Address - Fax:
Practice Address - Street 1:7071 MIDWAY TER UNIT 1
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472-4344
Practice Address - Country:US
Practice Address - Phone:407-276-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20340101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health