Dr. Kimberly Elam Sallis
Professional Counselor
507 Heritage Dr Ste 102
Oxford
, Mississippi 38655-5571
Dr. Kimberly Elam Sallis
Professional Counselor
507 Heritage Dr Ste 102
Oxford
, Mississippi 38655-5571
(662) 816-0968
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Dr. Kimberly Elam Sallis
- 558 County Road 102
- Oxford, MS
- Zip : 38655-8610
- Phone : (662) 816-0968
Second Address
- Dr. Kimberly Elam Sallis
- 507 Heritage Dr Ste 102
- Oxford, MS
- Zip : 38655-5571
- Phone : (662) 816-0968
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 0933 | MS |
National Provider Identifier
| NPI | 1003587486 |
|---|---|
| Provider Name | Dr. Kimberly Elam Sallis |
| First Address | Oxford, MS 38655-8610 |
| Second Address | Oxford, MS 38655-5571 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/09/2021 |
| Last Update Date | 24/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.