Kelley, Cynthia Robyn

Kelley, Cynthia Robyn is an sole proprietor health care provider with primary practice located at 199 Cecilia Ct , Saint Augustine FL 32086-7305. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kelley, Cynthia Robyn can be contacted via phone (253) 625-6060.

Contact Information

Primary practice address
199 Cecilia Ct Saint Augustine FL 32086-7305
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW 00006244 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW17557 Florida

Profile Details

NPI number 1780989434
LBN Legal business name Kelley, Cynthia Robyn
Credentials MSW LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2011
Last updated Mar 21st, 2023 - 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 1780989434 NPPES
Washington MEDICAID 2115955

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