Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY NATASHIA MICKENS
Active Sole ProprietorKIMBERLY NATASHIA MICKENS is a Behavioral Health, Residential healthcare provider located in WASHINGTON, Georgia. NPI 1477334415 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · WASHINGTON, GA
Registration Details
- NPI Number
- 1477334415
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 6, 2023 (2.8728736380096 yrs)
- Last Updated
- Oct 6, 2023
- Licenses
-
LPN099093 (GA)LPN099093 (GA)LPN099093 (GA)LPN099093 (GA)LPN099093 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
275A THOMSON RDWASHINGTON, GA, 306734313Browse GA providers · Browse ZIP 30673
- Phone
- 7063388350
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
- Additional Specialty
- Home Health
- Additional Specialty
- Hospice Care, Community Based
- Additional Specialty
- Developmental Disabilities Clinic
- Additional Specialty
- Respite Care (Camp)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.