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
Phone: (419) 794-0567
Fax: (419) 794-0569
Website:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 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 |
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