Kimberly Sheri Daniels
Individual provider Active NPI Counselor · Vicksburg, MS
NPI 1265907901 · NPPES record last updated Oct 9, 2018
Key facts
- NPI
- 1265907901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 3520 Manor Dr Ste 5
Vicksburg, MS 39180-5693 - Phone
- (601) 738-5260
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
3520 Manor Dr Ste 5
Vicksburg, MS 39180-5693
Mailing address
860 E River PL Ste 100
Jackson, MS 39202-3442
Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 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.