Adams, Keely E
Adams, Keely E is an sole proprietor health care provider with primary practice located at 8100 W Emerald St Ste 150 , Boise ID 83704. 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. Adams, Keely E can be contacted via phone (208) 908-6399.Contact Information
Primary practice address
8100 W Emerald St Ste 150
Boise ID 83704
Phone: (208) 908-6399
Fax: (866) 275-9883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6157 | Idaho |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004888 | Virginia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6157 | Idaho |
Profile Details
| NPI number | 1740570704 |
|---|---|
| LBN Legal business name | Adams, Keely E |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2011 |
| Last updated | Jul 5th, 2018 - about 6 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 | 1740570704 | NPPES |
| Virginia | MEDICAID | 1871542340 |
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