Hardison, Kellie Michelle
Hardison, Kellie Michelle is an sole proprietor health care provider with primary practice located at 3134 Market Street Ext , Washington NC 27889-8127. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hardison, Kellie Michelle can be contacted via phone (252) 945-2162.Contact Information
Primary practice address
3134 Market Street Ext
Washington NC 27889-8127
Phone: (252) 945-2162
Fax: (252) 975-3044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | P008815 | North Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C010737 |
Profile Details
| NPI number | 1093195554 |
|---|---|
| LBN Legal business name | Hardison, Kellie Michelle |
| Credentials | MSW, LCSW, QP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2015 |
| Last updated | Oct 30th, 2018 - about 8 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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