Leuty, Kelly
Leuty, Kelly is an individual health care provider with primary practice located at 101 S Locust St , Centralia IL 62801-3506. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Leuty, Kelly can be contacted via phone (618) 533-1391.Contact Information
Primary practice address
101 S Locust St
Centralia IL 62801-3506
Phone: (618) 533-1391
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 180.009169 | Illinois |
Profile Details
| NPI number | 1033406269 |
|---|---|
| LBN Legal business name | Leuty, Kelly |
| Credentials | MHP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2011 |
| Last updated | Nov 14th, 2019 - about 5 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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