Provider Demographics
NPI:1932412145
Name:ATKINSON, KIMBERLY KEY (LPC)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:KEY
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:KEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3501 ESPEY HEDGEPETH RD
Mailing Address - Street 2:
Mailing Address - City:BAILEY
Mailing Address - State:MS
Mailing Address - Zip Code:39320-9725
Mailing Address - Country:US
Mailing Address - Phone:601-938-5346
Mailing Address - Fax:
Practice Address - Street 1:2401 STATE BLVD
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39307-5033
Practice Address - Country:US
Practice Address - Phone:601-228-5837
Practice Address - Fax:601-429-1634
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS2022101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional