Shealey, Kendra D
Shealey, Kendra D is an individual health care provider with primary practice located at 3115 Spring Glen Rd Ste 504 , Jacksonville FL 32207-5907. She recently has 3 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 / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shealey, Kendra D can be contacted via phone (904) 404-8113.Contact Information
Primary practice address
3115 Spring Glen Rd Ste 504
Jacksonville FL 32207-5907
Phone: (904) 404-8113
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 | MH19995 | Florida |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1831433895 |
|---|---|
| LBN Legal business name | Shealey, Kendra D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2012 |
| Last updated | Oct 4th, 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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