Davis, Kelly

Davis, Kelly is an sole proprietor health care provider with primary practice located at 1970 Roanoke Blvd , Salem VA 24153-6478. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Davis, Kelly can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Salem VA 24153-6478
Phone: (540) 982-2463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810008685 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X BBH-LCPC-LIC-37760 Montana

Profile Details

NPI number 1962879072
LBN Legal business name Davis, Kelly
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2015
Last updated Oct 9th, 2024 - about 2 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

Popular Providers