Kelly, Caroline

Kelly, Caroline is an individual health care provider with primary practice located at 7601 Wayzata Blvd , St Louis Park MN 55426-1623. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kelly, Caroline can be contacted via phone (612) 223-8898.

Contact Information

Primary practice address
7601 Wayzata Blvd St Louis Park MN 55426-1623
Phone: (612) 223-8898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 4175 Minnesota

Profile Details

NPI number 1164916789
LBN Legal business name Kelly, Caroline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2018
Last updated Dec 1st, 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.

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