Kelley, Lloyd Thurston

Kelley, Lloyd Thurston is an sole proprietor health care provider with primary practice located at 2829 4Th Ave Ste 150 , Lake Charles LA 70601-7897. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kelley, Lloyd Thurston can be contacted via phone (337) 480-7800.

Contact Information

Primary practice address
2829 4Th Ave Ste 150 Lake Charles LA 70601-7897
Fax: (337) 474-4552
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1244 Louisiana

Profile Details

NPI number 1093774879
LBN Legal business name Kelley, Lloyd Thurston
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Feb 4th, 2022 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093774879 NPPES
Louisiana MEDICAID 2509551
Louisiana Other 1244

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