Ciresi, Kyle B
Ciresi, Kyle B is an sole proprietor health care provider with primary practice located at 3209 W Smith Valley Rd , Greenwood IN 46142-8495. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ciresi, Kyle B can be contacted via phone (317) 509-0837.Contact Information
Primary practice address
3209 W Smith Valley Rd
Greenwood IN 46142-8495
Phone: (317) 509-0837
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34005803A | Indiana |
Profile Details
| NPI number | 1134383029 |
|---|---|
| LBN Legal business name | Ciresi, Kyle B |
| Credentials | MSW, LCSW, LCAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Jul 19th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134383029 | NPPES |
| Indiana | MEDICAID | 100264520 |
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