NPI 1851008932 · live from the CMS NPI Registry
Kimberly Danielle Black
Marriage & Family Therapist in Brookhaven, GA. National Provider Identifier 1851008932, active.
NPI record
| NPI | 1851008932 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2801 Buford Hwy Ne Ste 501, Brookhaven, GA 30329 |
| Practice phone | 770-696-6311 |
| Mailing address | 6218 Riddle Ct, Douglasville, GA 30134 |
| Enumerated | October 31, 2022 |
| Last updated | October 31, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.