Hively, Kaylee Jo

Hively, Kaylee Jo is an individual health care provider with primary practice located at 1375 Commerce Dr , New Lexington OH 43764. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Hively, Kaylee Jo can be contacted via phone (740) 342-5154.

Contact Information

Primary practice address
1375 Commerce Dr New Lexington OH 43764
Phone: (740) 342-5154
Fax: (740) 342-6704
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.161828 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X S.1803181 Ohio

Profile Details

NPI number 1073084059
LBN Legal business name Hively, Kaylee Jo
Credentials MSW,LSW, LCDCIII
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2018
Last updated Aug 13th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073084059 NPPES
Ohio MEDICAID 0327913

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