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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134383029 NPPES
Indiana MEDICAID 100264520

Popular Providers