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

Individual provider Mental Health Counselor · NPI 1962356592

Kimberly Park, LCDC, LMSW, QCC is a Mental Health Counselor in Montgomery, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2026
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

3611 O Henry Dr
Montgomery, TX 77356-8016
Phone: (832) 297-8373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 117447 (TX)

Record details

NPI number1962356592
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDC , LMSW , QCC
Sole proprietorYes
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 22, 2026

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