Mood By Kim
Clinic/Center, Adult Mental Health in St Petersburg, FL. Organization (NPI-2).
Details
- NPI
- 1497380604
- Entity type
- Organization (NPI-2)
- Legal business name
- Mood By Kim
- Organization subpart
- No
- Enumeration date
- Mar 8, 2020
- Certification date
- Aug 6, 2024
- Last updated
- Aug 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – |
Other names
- Kimberly Cochran (Doing Business As)
Practice location
7901 4th St N Ste 300St Petersburg, FL 33702-4399
Phone 623-777-7551 · Fax 623-666-6612
Mailing address
8194 W Deer Valley Rd Ste 106Peoria, AZ 85382-2127
Phone 623-777-7551 · Fax 623-666-6612
Other practice locations
Albuquerque, NM 87120-3693
Phone 623-777-7551 · Fax 623-666-6612
Tempe, AZ 85281-0400
Phone 623-777-7551 · Fax 623-666-6612
Seattle, WA 98105-4424
Phone 623-777-7551 · Fax 623-666-6612
Authorized official
Kimberly Cochran
Owner/Provider
6237777551
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All 17 Adult Mental Health Clinic/Center providers in St Petersburg · All 8,700 providers in St Petersburg
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