Kimberly Acheson, LCSW
Individual provider Active NPI Marriage & Family Therapist · Tampa, FL
NPI 1972817898 · NPPES record last updated Jan 3, 2024
Key facts
- NPI
- 1972817898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- SW10560 (FL)
- Practice address
- 14614 Chatsworth Manor Cir
Tampa, FL 33626-3304 - Phone
- (813) 727-0264
- NPI assigned
- Aug 3, 2010
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | SW10560 | FL | Yes |
Addresses
Primary practice location
14614 Chatsworth Manor Cir
Tampa, FL 33626-3304
Mailing address
14614 Chatsworth Manor Cir
Tampa, FL 33626-3304
Phone (813) 727-0264
Other practice location 1
14614 Chatsworth Manor Cir
Tampa, FL 33626-3304
Phone (813) 727-0264
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- Dwight Mark Achong
All providers in Tampa, FL · Marriage & Family Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. 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.