Provider Demographics
NPI:1720517543
Name:BECHTEL, KIMBERLY (LMHC, ATR)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:BECHTEL
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:DANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2329 SKYLAND DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-3701
Mailing Address - Country:US
Mailing Address - Phone:727-410-4302
Mailing Address - Fax:
Practice Address - Street 1:2329 SKYLAND DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-3701
Practice Address - Country:US
Practice Address - Phone:727-410-4302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
221700000X
FLIMH13882101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist