Blackaby, Kelsey

Blackaby, Kelsey is an sole proprietor health care provider with primary practice located at 335 Township Road 1026 , South Point OH 45680-7842. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Blackaby, Kelsey can be contacted via phone (740) 744-4055.

Contact Information

Primary practice address
335 Township Road 1026 South Point OH 45680-7842
Phone: (740) 744-4055
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDCA.177739 Ohio

Profile Details

NPI number 1295407641
LBN Legal business name Blackaby, Kelsey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2021
Last updated May 8th, 2024 - about last year

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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