Provider Demographics
NPI:1780069088
Name:O'BRIEN, KIMBERLY (LMHC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:O'BRIEN
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:PO BOX 5215
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-5215
Mailing Address - Country:US
Mailing Address - Phone:781-386-1050
Mailing Address - Fax:781-207-9798
Practice Address - Street 1:282 GROVE ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-1502
Practice Address - Country:US
Practice Address - Phone:781-386-1050
Practice Address - Fax:781-207-9798
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health