Ellis, Kelly Pinney

Ellis, Kelly Pinney is an sole proprietor health care provider with primary practice located at 404 Broadway St Suite B, South Haven MI 49090-1421. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ellis, Kelly Pinney can be contacted via phone (269) 214-1234.

Contact Information

Primary practice address
404 Broadway St Suite B South Haven MI 49090-1421
Phone: (269) 214-1234
Fax: (269) 872-3625
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401011487 Michigan

Profile Details

NPI number 1417189929
LBN Legal business name Ellis, Kelly Pinney
Credentials MA, LPC, BCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2009
Last updated Jul 7th, 2015 - about 10 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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