National Provider Identifier
Kymberly Lodge
Kymberly Lodge is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Cheektowaga, NY and a listed phone number of (716) 895-6700.
Profile Overview
- NPI
- 1063884211
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 28, 2015
- Last Updated
- May 06, 2025
Practice Location
- 1526 Walden Ave
- Suite 400
- Cheektowaga, NY 14225
Phone: (716) 895-6700
Specialties
- Mental Health Counselor (101YM0800X)
- Social Worker (104100000X)
Full Record
- NPI
- 1063884211
- Entity Type
- Individual
- Last Name
- Lodge
- First Name
- Kymberly
- Mailing Street Address
- 1526 Walden Ave
- Mailing Address Line 2
- Suite 400
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225
- Mailing Country
- US
- Mailing Phone
- (716) 895-6700
- Mailing Fax
- (716) 895-0436
- Practice Street Address
- 1526 Walden Ave
- Practice Address Line 2
- Suite 400
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225
- Practice Country
- US
- Practice Phone
- (716) 895-6700
- Practice Fax
- (716) 895-0436
- Enumeration Date
- October 28, 2015
- Last Updated
- May 06, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 06, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Social Worker (104100000X)