Kelly, Lawrence Everrett

Kelly, Lawrence Everrett is an sole proprietor health care provider with primary practice located at 15018 Carlsbad Rd , Woodbridge VA 22193-1606. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Kelly, Lawrence Everrett can be contacted via phone (703) 270-8403.

Contact Information

Primary practice address
15018 Carlsbad Rd Woodbridge VA 22193-1606
Phone: (703) 270-8403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1942901293
LBN Legal business name Kelly, Lawrence Everrett
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2023
Last updated Apr 14th, 2023 - about 3 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.

Request for update

Popular Providers