Austin, Kelly
Austin, Kelly is an sole proprietor health care provider with primary practice located at 7118 Knotty Oak Ln , Manassas VA 20112-3235. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Austin, Kelly can be contacted via phone (571) 445-0265.Contact Information
Primary practice address
7118 Knotty Oak Ln
Manassas VA 20112-3235
Phone: (571) 445-0265
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717001391 | Virginia |
Profile Details
| NPI number | 1508216631 |
|---|---|
| LBN Legal business name | Austin, Kelly |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2016 |
| Last updated | Nov 14th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508216631 | NPPES |
| Virginia | Other | 0717001391 | STATE LICENSE |
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