Kimberly Simmons, QBHP
Individual provider Active NPI Case Manager/Care Coordinator · Mammoth Spring, AR
NPI 1053072256 · NPPES record last updated Jan 10, 2022
Key facts
- NPI
- 1053072256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1355 Tate Ave
Mammoth Spring, AR 72554-8064 - Phone
- (870) 625-0273
- Fax
- (870) 625-0275
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transforming Lives Counseling LLC | Current |
Accepting new patients |
Locations
1355 Tate Ave
Mammoth Spring, AR 72554
Phone (870) 625-0273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1355 Tate Ave
Mammoth Spring, AR 72554-8064
Mailing address
PO Box 1134
Mammoth Spring, AR 72554-1134
Phone (870) 625-0273
Other providers in Mammoth Spring, AR
- Teresa A Powers
- Linda Prebble
- Elizabeth Puerta
- Candis Ring
- Ronald Myers
- Haley A Skaggs
- Chancey Joelle Smith
- Frances M Smith
- Spring River Chiropractic
- Superintendent of Mammoth Spring School District
All providers in Mammoth Spring, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.