Vickie Elaine Kimble
Individual provider Active NPI Mental Health Counselor · Missouri City, TX
NPI 1114404167 · NPPES record last updated Jul 23, 2018
Key facts
- NPI
- 1114404167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 75766 (TX)
- Practice address
- 15866 Alger Dr
Missouri City, TX 77489-3300 - Phone
- (713) 478-8877
- NPI assigned
- Jul 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75766 | TX | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 75766 | TX | Yes |
Addresses
Primary practice location
15866 Alger Dr
Missouri City, TX 77489-3300
Mailing address
15866 Alger Dr
Missouri City, TX 77489-3300
Other providers in Missouri City, TX
- Naseer Nawaz Khan
- Rafiah Khan
- Kruti Khara
- Cindy Vy Khuc
- Kids Pediatric Inc
- Kimberly Kimbrough-Edwards
- Carolyne Kimeli-Mbaraka
- Tracy Egan Kinamore
- Kinder Healthcare Solutions LLC
- Tawyne King
All providers in Missouri City, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2018. 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.