Kelley, Charleka

Kelley, Charleka is an sole proprietor health care provider with primary practice located at 124 S Main St Ste 204 , Jonesboro GA 30236-3599. She recently has 3 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 / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kelley, Charleka can be contacted via phone (205) 447-8767.

Contact Information

Primary practice address
124 S Main St Ste 204 Jonesboro GA 30236-3599
Phone: (205) 447-8767
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MSW005748 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW007286 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MSW005748 Georgia

Profile Details

NPI number 1124560834
LBN Legal business name Kelley, Charleka
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 11th, 2016
Last updated Jun 28th, 2022 - about 4 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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