DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KIMBERLY PARK, LCDC, LMSW, QCC

Active Sole Proprietor

Mental Health Counselor · MONTGOMERY, TX

Registration Details

NPI Number
1962356592
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2026 (0.18250360764447 yrs)
Last Updated
Feb 23, 2026
License
117447 (TX)
Sole Proprietor
Yes

Practice Information

Address
3611 O HENRY DR
MONTGOMERY, TX, 773568016
Browse TX providers · Browse ZIP 77356
Phone
8322978373
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in MONTGOMERY, TX

Name Credential NPI
MS. TRISHA BOWEN KERR LPC, RN, CNS PMH,CEA 1508874629
MRS. LONA SNELL MED, LPC, CCTP, CART 1497316962
SHERI LYNN OZIO LPC 1851992143
JESSIE-ROSE GILLILAND LPC 1659061638
ALICIA ANNE MONTESA LPC - ASSOCIATE 1598540320
SHELBY FRAZIER MA, LPC, LMFT-A 1033927173
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.