Stella J Kim | New York, NY • PECOS Search

Stella J Kim

Counselor

Behavioral Health & Social Service Providers

23 Lexington Ave, New York, NY 10010-3790

PECOS Enrollment

Based on the most recent information from CMS, provider Stella J Kim does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 9:42 AM.

Profile Details

Provider ID
1639587264
Provider Type
Individual
Full Name
Kim, Stella J
Credential
LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
7/28/2014
Last Updated
4/2/2015

Contact Information

Practice Location

23 Lexington Ave, New York, NY 10010-3790

Unlisted Fax

Mailing Location

23 Lexington Ave, New York, NY 10010-3790

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 006272 New York