Kelly, Sherry Ann
Kelly, Sherry Ann is an individual health care provider with primary practice located at 2121 W. Spring Creek Pkwy Suite 220 , Plano TX 75023. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelly, Sherry Ann can be contacted via phone (972) 208-0760.Contact Information
Primary practice address
2121 W. Spring Creek Pkwy Suite 220
Plano TX 75023
Phone: (972) 208-0760
Fax: (972) 867-5688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 25673 | Texas |
Profile Details
| NPI number | 1730218504 |
|---|---|
| LBN Legal business name | Kelly, Sherry Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Jul 10th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730218504 | NPPES |
| Texas | MEDICAID | 063879301 |
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