Kelly, Kisha Darlene

Kelly, Kisha Darlene is an individual health care provider with primary practice located at 108 S 1St St , Union City TN 38261-3802. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Kisha Darlene can be contacted via phone (731) 335-6655.

Contact Information

Primary practice address
108 S 1St St Union City TN 38261-3802
Phone: (731) 335-6655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6948 Tennessee

Profile Details

NPI number 1467006304
LBN Legal business name Kelly, Kisha Darlene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2019
Last updated Jul 29th, 2019 - about 7 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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