Ruta, Kelly Sullivan

Ruta, Kelly Sullivan is an individual health care provider with primary practice located at 833 Wake Forest Business Park Suite D, Wake Forest NC 27587-6523. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ruta, Kelly Sullivan can be contacted via phone (919) 435-1347.

Contact Information

Primary practice address
833 Wake Forest Business Park Suite D Wake Forest NC 27587-6523
Phone: (919) 435-1347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05171400 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X C006374 North Carolina

Profile Details

NPI number 1366583346
LBN Legal business name Ruta, Kelly Sullivan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2007
Last updated Jan 22nd, 2013 - about 12 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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