Rolph, Chelcy

Rolph, Chelcy is an individual health care provider with primary practice located at 222 E Broadway Blvd Ste 205 , Jefferson City TN 37760-2837. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rolph, Chelcy can be contacted via phone (865) 999-0601.

Contact Information

Primary practice address
222 E Broadway Blvd Ste 205 Jefferson City TN 37760-2837
Phone: (865) 999-0601
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1255041620
LBN Legal business name Rolph, Chelcy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2022
Last updated Nov 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255041620 NPPES
Tennessee Other 150404291 DRIVERS LICENSE

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