Payne, Kelly L
Payne, Kelly L is an individual health care provider with primary practice located at 13260 N 94Th Dr Ste 100 , Peoria AZ 85381-4242. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Payne, Kelly L can be contacted via phone (623) 487-7763.Contact Information
Primary practice address
13260 N 94Th Dr Ste 100
Peoria AZ 85381-4242
Phone: (623) 487-7763
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1508162967 |
|---|---|
| LBN Legal business name | Payne, Kelly L |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2011 |
| Last updated | Feb 5th, 2024 - about 2 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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