Mccormack, Kelly Burns

Mccormack, Kelly Burns is an sole proprietor health care provider with primary practice located at 435 W 4Th St , Williamsport PA 17701-6001. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mccormack, Kelly Burns can be contacted via phone (570) 322-7873.

Contact Information

Primary practice address
435 W 4Th St Williamsport PA 17701-6001
Phone: (570) 322-7873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1376064964
LBN Legal business name Mccormack, Kelly Burns
Credentials ATR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2017
Last updated Jul 5th, 2017 - about 7 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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