Provider Demographics
NPI:1487275111
Name:GARLAND, KIMBERLY G (LPC)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:G
Last Name:GARLAND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:D
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4634 TREVINO CIR NE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-5633
Mailing Address - Country:US
Mailing Address - Phone:540-580-4670
Mailing Address - Fax:
Practice Address - Street 1:601 CAMPBELL AVE SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-3531
Practice Address - Country:US
Practice Address - Phone:540-793-4678
Practice Address - Fax:540-769-8588
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health