Gomez, Kelly

Gomez, Kelly is an sole proprietor health care provider with primary practice located at 4900 W Oakland Park Blvd Fl 3 , Lauderdale Lakes FL 33313-7500. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gomez, Kelly can be contacted via phone (954) 327-4060.

Contact Information

Primary practice address
4900 W Oakland Park Blvd Fl 3 Lauderdale Lakes FL 33313-7500
Phone: (954) 327-4060
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH23169 Florida

Profile Details

NPI number 1669860607
LBN Legal business name Gomez, Kelly
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2014
Last updated Nov 6th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1669860607 NPPES
Florida MEDICAID 127778000

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