Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberley Pavlak, LCMHC, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1073094389

Kimberley Pavlak, LCMHC, LCAS is an Addiction (Substance Use Disorder) Counselor in Wake Forest, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
Specialties on file
2

Practice location Address checks out

1513 Reynolds Mill Rd
Wake Forest, NC 27587-5613
Phone: (984) 230-9687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8362 Six Forks Rd Ste 102, Raleigh, NC 27615-5086 — (984) 230-9687

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 13749 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 25270 (NC)

Record details

NPI number1073094389
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC , LCAS
Sole proprietorNo
NPI enumeratedAugust 24, 2018
Last updated in NPPESOctober 1, 2023
Certification dateOctober 1, 2023

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