| Organization Name: | KIMBERLY LIGHTFIELD COUNSELING SERVICES LLC |
| NPI Number: | 1104251354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY J LIGHTFIELD (MENTAL HEALTH COUNSELOR) |
| Mailing Address: | 1212 Park Dr Milbank |
| State: | SD US |
| Postal Code: | 572523507 |
| Phone Number: | 6052371686 |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2013 |
| NPI Last Update Date: | 09/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LPCMH 2155 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |