Provider Demographics
NPI:1285441311
Name:ROBINSON GILCHRIST, KIM JORDANA (MS LMHC)
Entity type:Individual
Prefix:
First Name:KIM
Middle Name:JORDANA
Last Name:ROBINSON GILCHRIST
Suffix:
Gender:F
Credentials:MS LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 HOLLY DR APT C5
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:IA
Mailing Address - Zip Code:50211-1230
Mailing Address - Country:US
Mailing Address - Phone:515-631-9153
Mailing Address - Fax:
Practice Address - Street 1:1304 HOLLY DR APT C5
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:IA
Practice Address - Zip Code:50211-1230
Practice Address - Country:US
Practice Address - Phone:515-631-9153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA126038101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health