Sobczak, Kelly
Sobczak, Kelly is an individual health care provider with primary practice located at 119 E Center St Ste B4B , Warsaw IN 46580-2852. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Sobczak, Kelly can be contacted via phone (574) 337-3114.Contact Information
Primary practice address
119 E Center St Ste B4B
Warsaw IN 46580-2852
Phone: (574) 337-3114
Fax: (574) 800-4646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1083062400 |
|---|---|
| LBN Legal business name | Sobczak, Kelly |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2016 |
| Last updated | Aug 4th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083062400 | NPPES |
| Indiana | MEDICAID | 300057534 |
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