Kelly, Erica Danyelle
Kelly, Erica Danyelle is an individual health care provider with primary practice located at 9887 Edisto Way , Middle River MD 21220-1801. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kelly, Erica Danyelle can be contacted via phone (443) 762-7537.Contact Information
Primary practice address
9887 Edisto Way
Middle River MD 21220-1801
Phone: (443) 762-7537
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1609330489 |
|---|---|
| LBN Legal business name | Kelly, Erica Danyelle |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2019 |
| Last updated | Jan 25th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609330489 | NPPES |
| Maryland | MEDICAID | 0000 | |
| Maryland | Other | 0000 |
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