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
Phone: (337) 480-7800
Fax: (337) 474-4552
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1093774879 | NPPES |
Louisiana | MEDICAID | 2509551 | |
Louisiana | Other | 1244 |
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