Venezia Crilly, Kelly E.
Venezia Crilly, Kelly E. is an sole proprietor health care provider with primary practice located at 860 Wyckoff Ave Ste 206&305 , Mahwah NJ 07430-3186. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Venezia Crilly, Kelly E. can be contacted via phone (551) 319-2029.Contact Information
Primary practice address
860 Wyckoff Ave Ste 206&305
Mahwah NJ 07430-3186
Phone: (551) 319-2029
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 1086514 | New Jersey |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 37AC00614600 | New Jersey |
Profile Details
| NPI number | 1306506472 |
|---|---|
| LBN Legal business name | Venezia Crilly, Kelly E. |
| Credentials | LAC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2021 |
| Last updated | Dec 30th, 2021 - about 5 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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