Mcdearman, Kelly

Mcdearman, Kelly is an individual health care provider with primary practice located at 1461 S Lake Pleasant Rd , Apopka FL 32703-7601. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mcdearman, Kelly can be contacted via phone (407) 886-5405.

Contact Information

Primary practice address
1461 S Lake Pleasant Rd Apopka FL 32703-7601
Phone: (407) 886-5405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 14352 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1598101636
LBN Legal business name Mcdearman, Kelly
Credentials LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2013
Last updated Jan 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598101636 NPPES
Florida MEDICAID 1598101636

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