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
Phone: (253) 625-6060
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 2 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 | 1780989434 | NPPES |
| Washington | MEDICAID | 2115955 |
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