Roberts, Kathy L

Roberts, Kathy L is an individual health care provider with primary practice located at 15012 Lemoyne Blvd , Biloxi MS 39532-5205. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roberts, Kathy L can be contacted via phone (228) 396-8460.

Contact Information

Primary practice address
15012 Lemoyne Blvd Biloxi MS 39532-5205
Phone: (228) 396-8460
Fax: (228) 396-1141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C2692 Mississippi

Profile Details

NPI number 1902927809
LBN Legal business name Roberts, Kathy L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Oct 13th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902927809 NPPES
Mississippi MEDICAID 07703301
Mississippi Other C2692

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