Foster, Kellie W

Foster, Kellie W is an individual health care provider with primary practice located at 439 Sw Michigan St , Lake City FL 32025-0440. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Foster, Kellie W can be contacted via phone (386) 487-0800.

Contact Information

Primary practice address
439 Sw Michigan St Lake City FL 32025-0440
Phone: (386) 487-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X IMH 13298 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH18250 Florida

Profile Details

NPI number 1407229883
LBN Legal business name Foster, Kellie W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2015
Last updated Aug 10th, 2020 - about 4 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.

Request for update

Popular Providers