Goll, Kelly
Goll, Kelly is an sole proprietor health care provider with primary practice located at 400 Health Park Blvd , Saint Augustine FL 32086-5784. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Goll, Kelly can be contacted via phone (904) 819-5155.Contact Information
Primary practice address
400 Health Park Blvd
Saint Augustine FL 32086-5784
Phone: (904) 819-5155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH13267 | Florida |
Profile Details
| NPI number | 1952771180 |
|---|---|
| LBN Legal business name | Goll, Kelly |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 30th, 2015 |
| Last updated | Oct 20th, 2016 - about 8 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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