KIMBERLEY PAVLAK LCMHC LCAS NPI 1073094389

NPI Information

NPI: 1073094389
Provider Name: KIMBERLEY PAVLAK, LCMHC, LCAS
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1513 REYNOLDS MILL RD
WAKE FOREST, NC
ZIP 27587
Phone: (984) 230-9687
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Kimberley Pavlak, LCMHC, LCAS is a professional counselor in Wake Forest, NC. Kimberley Pavlak, LCMHC, LCAS NPI is 1073094389. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1513 REYNOLDS MILL RD
WAKE FOREST, NC
ZIP 27587-613
Phone: (984) 230-9687

The enumeration date for this NPI number is 8/24/2018 and was last updated on 10/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	25270	NORTH CAROLINA	No
2	101YP2500X	Counselor	Professional	13749	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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