Dodson, Kelley

Dodson, Kelley is an sole proprietor health care provider with primary practice located at 3485 Mcever Rd Ste 205 , Gainesville GA 30504-5542. 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. Dodson, Kelley can be contacted via phone (770) 450-9900.

Contact Information

Primary practice address
3485 Mcever Rd Ste 205 Gainesville GA 30504-5542
Phone: (770) 450-9900
Fax: (770) 450-9300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC009024 Georgia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X APC003922 Georgia
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC009024 Georgia

Profile Details

NPI number 1336528520
LBN Legal business name Dodson, Kelley
Credentials LPC, CPCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2015
Last updated Mar 29th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336528520 NPPES
Georgia MEDICAID 003209993A

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