Kennedy, Marcella Alicia

Kennedy, Marcella Alicia is an individual health care provider with primary practice located at 1547 Parkway Ste 200 , Greenwood SC 29646-4081. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kennedy, Marcella Alicia can be contacted via phone (864) 223-8331.

Contact Information

Primary practice address
1547 Parkway Ste 200 Greenwood SC 29646-4081
Phone: (864) 223-8331
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1386869964
LBN Legal business name Kennedy, Marcella Alicia
Credentials MA COUNSELING
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 8th, 2007 - about 17 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 1386869964 NPPES
South Carolina MEDICAID 421504

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