Provider Demographics
NPI:1346133766
Name:LEROY, KIMBERLY SMITH (COUNSELOR-MENTAL HEA)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:SMITH
Last Name:LEROY
Suffix:
Gender:F
Credentials:COUNSELOR-MENTAL HEA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 GROVE CITY RD UNIT 604
Mailing Address - Street 2:
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057-8557
Mailing Address - Country:US
Mailing Address - Phone:412-629-1227
Mailing Address - Fax:412-629-1227
Practice Address - Street 1:30 GLADE RUN DR
Practice Address - Street 2:
Practice Address - City:ZELIENOPLE
Practice Address - State:PA
Practice Address - Zip Code:16063-2200
Practice Address - Country:US
Practice Address - Phone:724-452-4453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health