Kelley, Tammy L.

Kelley, Tammy L. is an individual health care provider with primary practice located at 7 Prospect St , Caribou ME 04736-2456. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kelley, Tammy L. can be contacted via phone (207) 492-1000.

Contact Information

Primary practice address
7 Prospect St Caribou ME 04736-2456
Phone: (207) 492-1000
Fax: (207) 492-1000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CAC4021 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC16689 Maine

Profile Details

NPI number 1891982302
LBN Legal business name Kelley, Tammy L.
Credentials MHRT-C & CADC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2007
Last updated Mar 17th, 2018 - about 6 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 1891982302 NPPES
Maine Other 103850000 MAINECARE

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