National Provider Identifier

Kimberly Bergstresser Davis, LMHC

Kimberly Bergstresser Davis, LMHC is listed in the NPPES registry with a primary specialty of Community/Behavioral Health Agency in Stanley, NY and a listed phone number of (585) 469-8491.

NPI 1770968075Stanley, NYCommunity/Behavioral Health Agency

Profile Overview

NPI
1770968075
Provider Type
Individual
Primary Specialty
Community/Behavioral Health Agency
Enumeration Date
July 28, 2015
Last Updated
June 30, 2021

Practice Location

  • 2106 W Main St
  • Stanley, NY 14561-9424

Phone: (585) 469-8491

Specialties

  • Community/Behavioral Health Agency (251S00000X)
Full Record
NPI
1770968075
Entity Type
Individual
Last Name
Davis
First Name
Kimberly
Middle Name
Bergstresser
Name Prefix
Mrs.
Credential
LMHC
Mailing Street Address
2106 W Main St
Mailing City
Stanley
Mailing State
NY
Mailing ZIP Code
14561-9424
Mailing Country
US
Mailing Phone
(585) 469-8491
Practice Street Address
2106 W Main St
Practice City
Stanley
Practice State
NY
Practice ZIP Code
14561-9424
Practice Country
US
Practice Phone
(585) 469-8491
Enumeration Date
July 28, 2015
Last Updated
June 30, 2021
Sex
Female
Sole Proprietor
Yes
Certification Date
June 30, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community/Behavioral Health Agency (251S00000X)