KIMBERLY DEANNA MCCLANNAHAN


Address: 9226 Sunstone Dr, Colorado Springs, CO 80924-4225
Phone: 6785225227

KIMBERLY DEANNA MCCLANNAHAN (NPI# 1073872206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073872206
Entity Type Individual
Full Name KIMBERLY DEANNA MCCLANNAHAN
Credential LPC, ATR-BC, RPT-S,
Practice Address 9226 Sunstone Dr
Colorado Springs
CO 80924-4225
Practice Telephone 6785225227
Mailing Telephone 6785225227
Enumeration Date 2012-05-08
Last Update Date 2018-01-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YM0800X Counselor
Specialization: Mental Health
RPT-S-S1805 Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
LPC0011396 CO Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
LPC006713 GA Behavioral Health & Social Service Providers
N 221700000X Art Therapist 12-136 Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 2080C0008X Pediatrics
Specialization: Child Abuse Pediatrics
Allopathic & Osteopathic Physicians

Office Location

Street Address 9226 SUNSTONE DR
City COLORADO SPRINGS
State CO
Zip Code 80924-4225

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1326655010 Madeline Tormoen Counselor 2546 Indian Hills Grv, Colorado Springs, CO 80907-5977 2020-09-26
1144832890 Theresa Hernandez Counselor 7561 Sun Prairie Dr, Colorado Springs, CO 80925-9567 2020-08-22
1396356200 Croswaite Counseling, Pllc Counselor 1768 Silver Meadow Cir, Colorado Springs, CO 80951-9762 2020-08-13
1952911653 Aurora Umana-arko Counselor 5475 Mark Dabling Blvd Ste 100, Colorado Springs, CO 80918-3847 2020-08-06
1750990925 Richard James Locke II Counselor 6238 San Mateo Dr, Colorado Springs, CO 80911-4007 2020-07-23
1578171914 Susan Leslie Quinn Counselor 6562 Lange Dr, Colorado Springs, CO 80918-1631 2020-07-22
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1295363992 Katherine Daugaard Counselor 2865 Blake Dr, Colorado Springs, CO 80916-3346 2020-03-29
1013543677 Shirley Noelle Turner Vancil Counselor 655 Southpointe Ct Ste 202, Colorado Springs, CO 80906-3859 2020-03-16
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Competitor

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City COLORADO SPRINGS
Zip Code 80924

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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