Provider Demographics
NPI:1942459276
Name:KIMBERLY PARKHILL COUNSELING
Entity Type:Organization
Organization Name:KIMBERLY PARKHILL COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:PARKHILL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:317-828-6062
Mailing Address - Street 1:3550 ROCK MAPLE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-3576
Mailing Address - Country:US
Mailing Address - Phone:317-828-6062
Mailing Address - Fax:
Practice Address - Street 1:2935 E 96TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1373
Practice Address - Country:US
Practice Address - Phone:317-828-6062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34005586A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty