Provider Demographics
NPI:1568286482
Name:WENDY M KLIMBAL, LPC, LLC
Entity type:Organization
Organization Name:WENDY M KLIMBAL, LPC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:KLIMBAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-299-9285
Mailing Address - Street 1:25 FOOTHILLS PKWY STE 214
Mailing Address - Street 2:
Mailing Address - City:MARBLE HILL
Mailing Address - State:GA
Mailing Address - Zip Code:30148-2262
Mailing Address - Country:US
Mailing Address - Phone:706-299-9285
Mailing Address - Fax:
Practice Address - Street 1:25 FOOTHILLS PKWY STE 214
Practice Address - Street 2:
Practice Address - City:MARBLE HILL
Practice Address - State:GA
Practice Address - Zip Code:30148-2262
Practice Address - Country:US
Practice Address - Phone:706-299-9285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-08
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty