Lussier, Kelli
Lussier, Kelli is an sole proprietor health care provider with primary practice located at 1126 Hartford Ave Suite 101, Johnston RI 02919-7130. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Lussier, Kelli can be contacted via phone (401) 351-2750.Contact Information
Primary practice address
1126 Hartford Ave Suite 101
Johnston RI 02919-7130
Phone: (401) 351-2750
Fax: (401) 351-7002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | L.C.D.P. # NOT RCVD | Rhode Island |
Profile Details
| NPI number | 1104919117 |
|---|---|
| LBN Legal business name | Lussier, Kelli |
| Credentials | B.S.W., L.C.D.P. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104919117 | NPPES |
| Rhode Island | MEDICAID | TT24187 |
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