Provider Demographics
NPI:1881395440
Name:INMAN, KIMBERLY J (MS, LLPC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:J
Last Name:INMAN
Suffix:
Gender:F
Credentials:MS, LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 W CHART ST
Mailing Address - Street 2:
Mailing Address - City:PLAINWELL
Mailing Address - State:MI
Mailing Address - Zip Code:49080-1520
Mailing Address - Country:US
Mailing Address - Phone:616-757-7880
Mailing Address - Fax:616-757-4536
Practice Address - Street 1:441 W CHART ST
Practice Address - Street 2:
Practice Address - City:PLAINWELL
Practice Address - State:MI
Practice Address - Zip Code:49080-1520
Practice Address - Country:US
Practice Address - Phone:616-757-7880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-10
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022860101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI101Y00000XOtherCOFINITY
MI101Y00000XOtherBCBS
MI101Y00000XOtherAETNA
MI101Y00000XOtherPRIORITY HEALTH