Kimberley C. Premo, M.S., LPC
Individual provider Active NPI Professional Counselor · Emory, TX
NPI 1144947359 · NPPES record last updated Oct 27, 2022
Key facts
- NPI
- 1144947359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 19961 (TX)
- Practice address
- 499 RS County Road 3446
Emory, TX 75440-3985 - Phone
- (214) 536-1334
- NPI assigned
- Oct 27, 2022
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19961 | TX | MD | Radiation Therapy Radiologic Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19961 | TX | Yes |
Addresses
Primary practice location
499 RS County Road 3446
Emory, TX 75440-3985
Mailing address
499 RS County Road 3446
Emory, TX 75440-3985
Phone (214) 536-1334
Other providers in Emory, TX
- Melissa Sue Nix
- Mona Noorizadeh
- Britni Oswalt
- Carley Overbey
- Potts Anesthesia, PLLC
- Rabe Chiropractic, P.C.
- Eddy Jason Rabe
- Rains Independent School District
- Rains Pharmacy
- Alan Mitchell Ramsey
All providers in Emory, TX · Professional 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 Oct 27, 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.