Stevens, Kelly L

Stevens, Kelly L is an individual health care provider with primary practice located at 106 Springview Ln , Summerville SC 29485-8108. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Stevens, Kelly L can be contacted via phone (843) 873-5063.

Contact Information

Primary practice address
106 Springview Ln Summerville SC 29485-8108
Phone: (843) 873-5063
Fax: (843) 851-2110
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 7527 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 10191 South Carolina

Profile Details

NPI number 1538546189
LBN Legal business name Stevens, Kelly L
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated Sep 11th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538546189 NPPES
South Carolina MEDICAID 1760596480

Popular Providers