Kelly, Louise
Kelly, Louise is an individual health care provider with primary practice located at 1044 Highway 54 W , Fayetteville GA 30214-4515. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Kelly, Louise can be contacted via phone (770) 716-6630.Contact Information
Primary practice address
1044 Highway 54 W
Fayetteville GA 30214-4515
Phone: (770) 716-6630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | APC001523 | Georgia |
Profile Details
| NPI number | 1275767196 |
|---|---|
| LBN Legal business name | Kelly, Louise |
| Credentials | LAPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 6th, 2009 |
| Last updated | May 6th, 2009 - about 17 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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