Kelly, Shnella

Kelly, Shnella is an sole proprietor health care provider with primary practice located at 1100 Logger Ct Suite C-100, Raleigh NC 27609-8525. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kelly, Shnella can be contacted via phone (919) 844-7770.

Contact Information

Primary practice address
1100 Logger Ct Suite C-100 Raleigh NC 27609-8525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 10044A North Carolina

Profile Details

NPI number 1447633102
LBN Legal business name Kelly, Shnella
Credentials LMFTA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2015
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447633102 NPPES
North Carolina Other 13557311 CAQH PROVIDER ID

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