Provider Demographics
NPI:1295620136
Name:ZIMMERMAN, KRISTI (NCC, PLPC)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:
Last Name:ZIMMERMAN
Suffix:
Gender:F
Credentials:NCC, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 FACULTY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT GABRIEL
Mailing Address - State:LA
Mailing Address - Zip Code:70776-4447
Mailing Address - Country:US
Mailing Address - Phone:225-268-3983
Mailing Address - Fax:
Practice Address - Street 1:2133 SILVERSIDE DR STE C
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4179
Practice Address - Country:US
Practice Address - Phone:225-810-3922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC10191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health