Kirby, Shyanna
Kirby, Shyanna is an sole proprietor health care provider with primary practice located at 1400 Eberhart Ave , Edwardsville IL 62025-1013. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kirby, Shyanna can be contacted via phone (217) 871-1089.Contact Information
Primary practice address
1400 Eberhart Ave
Edwardsville IL 62025-1013
Phone: (217) 871-1089
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149.026648 | Illinois |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 150105411 | Illinois |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
NPI number | 1477126340 |
---|---|
LBN Legal business name | Kirby, Shyanna |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 20th, 2021 |
Last updated | Jul 12th, 2024 - 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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