Michaud, Kelly M
Michaud, Kelly M is an sole proprietor health care provider with primary practice located at 345 W Memorial Dr , Hinesville GA 31313-2413. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Michaud, Kelly M can be contacted via phone (912) 456-2010.Contact Information
Primary practice address
345 W Memorial Dr
Hinesville GA 31313-2413
Phone: (912) 456-2010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1447588363 |
|---|---|
| LBN Legal business name | Michaud, Kelly M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2009 |
| Last updated | May 1st, 2025 - about last year |
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 | 1447588363 | NPPES |
| Georgia | Other | 12610067 | CAQH |
| Georgia | MEDICAID | 003141299A | CAQH |
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