Kimberly Bridi, LPC
Individual provider Active NPI Professional Counselor · Martinez, GA
NPI 1730746009 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1730746009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC014562 (GA)
- Practice address
- 740 Greenfield Abbey CT
Martinez, GA 30907-9049 - Phone
- (704) 749-4328
- NPI assigned
- May 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC014562 | GA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC014562 | GA | Yes |
Addresses
Primary practice location
740 Greenfield Abbey CT
Martinez, GA 30907-9049
Mailing address
740 Greenfield Abbey CT
Martinez, GA 30907-9049
Phone (704) 749-4328
Other providers in Martinez, GA
- David H. Brantley
- David Willis Brantley
- Jerika D Bratton
- Breath of Life Training LLC
- Bridgepoint Health, LLC
- Broad Wellness, LLC
- Stephen R Broadwater
- Sharica Brookins
- Anna Beth Brooks
- Stephanie Broomer
All providers in Martinez, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.