Provider Demographics
NPI:1316105471
Name:CENSURATO, KIMBERLY LYNN (LPCMH, CEAP)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:LYNN
Last Name:CENSURATO
Suffix:
Gender:F
Credentials:LPCMH, CEAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 AUSTIN RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-2203
Mailing Address - Country:US
Mailing Address - Phone:302-287-5519
Mailing Address - Fax:302-477-0455
Practice Address - Street 1:100 W ROCKLAND RD STE 202
Practice Address - Street 2:
Practice Address - City:MONTCHANIN
Practice Address - State:DE
Practice Address - Zip Code:19710-2006
Practice Address - Country:US
Practice Address - Phone:302-287-5519
Practice Address - Fax:302-298-0911
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003855101YP2500X
DEPC0000434101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional