Payne, Kellie A

Payne, Kellie A is an individual health care provider with primary practice located at 2770 Centennial Rd , Toledo OH 43617-1829. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Payne, Kellie A can be contacted via phone (419) 794-0567.

Contact Information

Primary practice address
2770 Centennial Rd Toledo OH 43617-1829
Fax: (419) 794-0569
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 975872 Ohio
Behavioral Health & Social Service Providers / Social Worker 104100000X E0002484 Ohio

Profile Details

NPI number 1144397340
LBN Legal business name Payne, Kellie A
Credentials LPCC LLCDC LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jun 7th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1144397340 NPPES
Ohio Other 975872 STATE OF OH CHEMICAL DEPE
Ohio Other E0002484 STATE OF OH CHEMICAL DEPE
Ohio Other S0020474 STATE OF OH CHEMICAL DEPE

Popular Providers