Shealy, Kristen M

Shealy, Kristen M is an individual health care provider with primary practice located at 1012 Anna Knapp Ext , Mt Pleasant SC 29464-5400. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Shealy, Kristen M can be contacted via phone (843) 800-0626.

Contact Information

Primary practice address
1012 Anna Knapp Ext Mt Pleasant SC 29464-5400
Phone: (843) 800-0626
Fax: (843) 884-0061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 5762 South Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 5762 South Carolina
Behavioral Health & Social Service Providers / School 1041S0200X 5762 South Carolina
Behavioral Health & Social Service Providers / School 1041S0200X 419253 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 59454 California

Profile Details

NPI number 1891929212
LBN Legal business name Shealy, Kristen M
Credentials EDM; CAS; LPC
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2009
Last updated Mar 27th, 2018 - about 6 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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