Mitchell, Kelly
Mitchell, Kelly is an individual health care provider with primary practice located at 1022 N 4Th St Ste 101 , Coeur D Alene ID 83814-3100. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mitchell, Kelly can be contacted via phone (208) 457-2909.Contact Information
Primary practice address
1022 N 4Th St Ste 101
Coeur D Alene ID 83814-3100
Phone: (208) 457-2909
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4471283 | Idaho |
Profile Details
| NPI number | 1023411121 |
|---|---|
| LBN Legal business name | Mitchell, Kelly |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 2nd, 2014 |
| Last updated | Nov 12th, 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 | 1023411121 | NPPES |
| California | Other | 475722449 | PASSPORT |
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