Kelly, Breanna

Kelly, Breanna is an individual health care provider with primary practice located at 4026 Birchwood Cv , Decatur GA 30034-5251. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Kelly, Breanna can be contacted via phone (813) 361-0596.

Contact Information

Primary practice address
4026 Birchwood Cv Decatur GA 30034-5251
Phone: (813) 361-0596
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005955 Georgia
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11833409
Behavioral Health & Social Service Providers / Social Worker 104100000X MSW006385 Georgia

Profile Details

NPI number 1871047720
LBN Legal business name Kelly, Breanna
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2016
Last updated Jan 29th, 2019 - about 5 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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