Provider Demographics
NPI:1144558511
Name:RAWLINSON, KIMBERLY JOY
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:JOY
Last Name:RAWLINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:JOY
Other - Last Name:STANGMEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13012 N. HWY 146
Mailing Address - Street 2:
Mailing Address - City:MONT BELVIEU
Mailing Address - State:TX
Mailing Address - Zip Code:77580
Mailing Address - Country:US
Mailing Address - Phone:281-682-4882
Mailing Address - Fax:
Practice Address - Street 1:13012 N. HWY 146
Practice Address - Street 2:
Practice Address - City:MONT BELVIEU
Practice Address - State:TX
Practice Address - Zip Code:77580
Practice Address - Country:US
Practice Address - Phone:281-682-4882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-24
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62373106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist