Kimberly Lee Smith
Kimberly Lee Smith is a Mental Health Counselor in Bryan, Texas. Qualified in 2021, 5 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 5
- Licensed in
- TX
- In the registry since
- 2023
Practice location Address checks out
6517 F.m 974Bryan, TX 77808
Phone: (979) 589-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Professional Counselor (primary) | Taxonomy 101YP2500X · Licence 87241 (TX) |
|---|
Record details
| NPI number | 1386429348 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2023 |
| Last updated in NPPES | August 29, 2023 |
| Certification date | August 25, 2023 |
| Mailing address | 6517 F.M. 974, Bryan, TX 77808 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Sondermind Provider Network Llc — 1258 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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