Provider Demographics
NPI:1356512123
Name:JAMES, KIMBERLY V
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:V
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3733 FAIRVIEW COVE LN APT 304
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-3754
Mailing Address - Country:US
Mailing Address - Phone:656-213-7758
Mailing Address - Fax:
Practice Address - Street 1:3733 FAIRVIEW COVE LN APT 304
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-3754
Practice Address - Country:US
Practice Address - Phone:656-213-7758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)