Gardner, Kiesha

Gardner, Kiesha is an sole proprietor health care provider with primary practice located at 1550 Sheridan Dr Ste 302 , Lancaster OH 43130. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gardner, Kiesha can be contacted via phone (740) 901-3049.

Contact Information

Primary practice address
1550 Sheridan Dr Ste 302 Lancaster OH 43130
Phone: (740) 901-3049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1902498033
LBN Legal business name Gardner, Kiesha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2021
Last updated Jun 28th, 2024 - about last year

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 1902498033 NPPES
Ohio MEDICAID 0437279

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