Kelly, James Allen

Kelly, James Allen is an sole proprietor health care provider with primary practice located at 5200 Maryland Way Suite 102, Brentwood TN 37027-5018. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelly, James Allen can be contacted via phone (615) 377-1153.

Contact Information

Primary practice address
5200 Maryland Way Suite 102 Brentwood TN 37027-5018
Phone: (615) 377-1153
Fax: (615) 370-0919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 686 Tennessee

Profile Details

NPI number 1942327952
LBN Legal business name Kelly, James Allen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942327952 NPPES
Tennessee Other 0085513 BCBS PROVIDER NUMBER

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