Gardner, Kelly Holloman
Gardner, Kelly Holloman is an sole proprietor health care provider with primary practice located at 7165 Getwell Rd Bldg G , Southaven MS 38672-9619. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gardner, Kelly Holloman can be contacted via phone (662) 349-2818.Contact Information
Primary practice address
7165 Getwell Rd Bldg G
Southaven MS 38672-9619
Phone: (662) 349-2818
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1245420520 |
|---|---|
| LBN Legal business name | Gardner, Kelly Holloman |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 1st, 2007 |
| Last updated | Mar 4th, 2013 - about 13 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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