Mayor, Kelly Micaela

Mayor, Kelly Micaela is an individual health care provider with primary practice located at 2004 Lewis Turner Blvd , Fort Walton Beach FL 32547. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mayor, Kelly Micaela can be contacted via phone (850) 367-7453.

Contact Information

Primary practice address
2004 Lewis Turner Blvd Fort Walton Beach FL 32547
Phone: (850) 367-7453
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW11093 Florida

Profile Details

NPI number 1578823811
LBN Legal business name Mayor, Kelly Micaela
Credentials MSW, LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2012
Last updated Apr 28th, 2022 - about 4 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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