Stith, Kelly
Stith, Kelly is an individual health care provider with primary practice located at 3705 Park Center Blvd , St Louis Park MN 55416-2504. 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 / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Stith, Kelly can be contacted via phone (952) 405-7653.Contact Information
Primary practice address
3705 Park Center Blvd
St Louis Park MN 55416-2504
Phone: (952) 405-7653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 302307 | Minnesota |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 3330 | Minnesota |
Profile Details
| NPI number | 1124539853 |
|---|---|
| LBN Legal business name | Stith, Kelly |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2017 |
| Last updated | Oct 20th, 2017 - about 9 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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