Michaud, Kelly M
Michaud, Kelly M is an sole proprietor health care provider with primary practice located at 128 Frances Meeks Way Ste 16 , Richmond Hill GA 31324-3985. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Michaud, Kelly M can be contacted via phone (912) 508-1223.Contact Information
Primary practice address
128 Frances Meeks Way Ste 16
Richmond Hill GA 31324-3985
Phone: (912) 508-1223
Fax: (912) 257-4413
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC007469 | Georgia |
Profile Details
| NPI number | 1447588363 |
|---|---|
| LBN Legal business name | Michaud, Kelly M |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2009 |
| Last updated | Jul 21st, 2022 - about 2 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 | 1447588363 | NPPES |
| Georgia | Other | 12610067 | CAQH |
| Georgia | MEDICAID | 003141299A | CAQH |
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