Champagne, Shelly Denise
Champagne, Shelly Denise is an sole proprietor health care provider with primary practice located at 1300 Andrea St Ste 205 , Bowling Green KY 42104-3382. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Champagne, Shelly Denise can be contacted via phone (270) 205-4585.Contact Information
Primary practice address
1300 Andrea St Ste 205
Bowling Green KY 42104-3382
Phone: (270) 205-4585
Fax: (270) 936-7333
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 3040 | Kentucky |
Profile Details
| NPI number | 1548526049 |
|---|---|
| LBN Legal business name | Champagne, Shelly Denise |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2012 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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