Most Relevant Information
Provider Data
| NPI Number: | 1003645011 |
| Provider Name: | KIMBERLY GANDY LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | MH24109 |
Most Important Dates
| Enumeration Date: | 07/29/2024 |
| Last Updated: | 07/29/2024 |
Provider Practice Location
6907 E HIGHWAY 388
YOUNGSTOWN
FL
324663033
Practice Location Phone/Fax
| Phone: | 8505195300 |
| Fax: |
Provider Mailing Location
6907 E HIGHWAY 388
YOUNGSTOWN
FL
324663033
Provider Mailing Phone/Fax
| Phone: | 8505195300 |
| Fax: |