Caldwell Kelly, Denita

Caldwell Kelly, Denita is an sole proprietor health care provider with primary practice located at 540 Ventura Ln , College Park GA 30349-2726. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Caldwell Kelly, Denita can be contacted via phone (678) 749-2089.

Contact Information

Primary practice address
540 Ventura Ln College Park GA 30349-2726
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1164188272
LBN Legal business name Caldwell Kelly, Denita
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2021
Last updated Nov 12th, 2021 - about 3 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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