Mordecki, Kelly M

Mordecki, Kelly M is an sole proprietor health care provider with primary practice located at 90 Maccorkle Ave Sw Ste 201 , Charleston WV 25303-1443. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mordecki, Kelly M can be contacted via phone (304) 421-6464.

Contact Information

Primary practice address
90 Maccorkle Ave Sw Ste 201 Charleston WV 25303-1443
Phone: (304) 421-6464
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 1536 West Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1536 West Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X 1536 West Virginia

Profile Details

NPI number 1952602211
LBN Legal business name Mordecki, Kelly M
Credentials MA, ED.S., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2010
Last updated Jul 31st, 2020 - 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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