Kelly, Stacey

Kelly, Stacey is an individual health care provider with primary practice located at 7751 Hood St 7751 Hood St, Hollywood FL 33024-2525. She recently has 2 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 / Behavior Technician is her primary health care specialty. Kelly, Stacey can be contacted via phone (754) 204-5141.

Contact Information

Primary practice address
7751 Hood St 7751 Hood St Hollywood FL 33024-2525
Phone: (754) 204-5141
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

Profile Details

NPI number 1760896708
LBN Legal business name Kelly, Stacey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2014
Last updated Nov 13th, 2023 - about last year

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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