Medley-Stephens, Kia Tanisha

Medley-Stephens, Kia Tanisha is an sole proprietor health care provider with primary practice located at 2105 Coventry Ln , Glen Mills PA 19342-9434. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Medley-Stephens, Kia Tanisha can be contacted via phone (610) 620-5284.

Contact Information

Primary practice address
2105 Coventry Ln Glen Mills PA 19342-9434
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC010330 Pennsylvania

Profile Details

NPI number 1811534605
LBN Legal business name Medley-Stephens, Kia Tanisha
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2019
Last updated Nov 29th, 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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