Hardison, Kellie Michelle

Hardison, Kellie Michelle is an sole proprietor health care provider with primary practice located at 3134 Market Street Ext , Washington NC 27889-8127. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hardison, Kellie Michelle can be contacted via phone (252) 945-2162.

Contact Information

Primary practice address
3134 Market Street Ext Washington NC 27889-8127
Fax: (252) 975-3044
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X P008815 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C010737

Profile Details

NPI number 1093195554
LBN Legal business name Hardison, Kellie Michelle
Credentials MSW, LCSW, QP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 31st, 2015
Last updated Oct 30th, 2018 - about 6 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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