Goodness, Kelly Renee
Goodness, Kelly Renee is an sole proprietor health care provider with primary practice located at 121 Olive St , Keller TX 76248-2238. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Goodness, Kelly Renee can be contacted via phone (817) 379-4663.Contact Information
Primary practice address
121 Olive St
Keller TX 76248-2238
Phone: (817) 379-4663
Fax: (817) 379-0320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 31223 | Texas |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 31223 | Texas |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 31223 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 31223 | Texas |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 31223 | Texas |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 31223 | Texas |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 31223 | Texas |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 31223 | Texas |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 31223 | Texas |
Profile Details
| NPI number | 1700911351 |
|---|---|
| LBN Legal business name | Goodness, Kelly Renee |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700911351 | NPPES |
| Texas | Other | 31223 | STATE BOARD OF EXAMINERS |
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