Kelly, K. Michelle

Kelly, K. Michelle is an individual health care provider with primary practice located at 2587 Back Orrville Rd , Wooster OH 44691-9523. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kelly, K. Michelle can be contacted via phone (330) 264-9579.

Contact Information

Primary practice address
2587 Back Orrville Rd Wooster OH 44691-9523
Phone: (330) 264-9579
Fax: (330) 264-0946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Pastoral 101YP1600X C.1300607 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.0025386 Ohio
Behavioral Health & Social Service Providers / Professional 101YP2500X E.1300607 Ohio

Profile Details

NPI number 1073934105
LBN Legal business name Kelly, K. Michelle
Credentials LSW, LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2013
Last updated Apr 5th, 2016 - about 10 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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