Provider Demographics
NPI:1215637723
Name:WIMSETT, MARIA CAMBRON (LPCA, NCC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CAMBRON
Last Name:WIMSETT
Suffix:
Gender:F
Credentials:LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1457 WHEELER RD
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-9676
Mailing Address - Country:US
Mailing Address - Phone:502-255-3525
Mailing Address - Fax:
Practice Address - Street 1:1457 WHEELER RD
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-9676
Practice Address - Country:US
Practice Address - Phone:502-233-3525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY270563101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health