Smith, Kelly Raye
Smith, Kelly Raye is an sole proprietor health care provider with primary practice located at 600 Central Ave Ste 208 , Great Falls MT 59401. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Smith, Kelly Raye can be contacted via phone (406) 231-1775.Contact Information
Primary practice address
600 Central Ave Ste 208
Great Falls MT 59401
Phone: (406) 231-1775
Fax: (406) 403-0660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 743-LCSW | Montana |
Profile Details
| NPI number | 1225049901 |
|---|---|
| LBN Legal business name | Smith, Kelly Raye |
| Credentials | LCSW, ACSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Sep 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225049901 | NPPES |
| Montana | Other | 0000071565 | BLUE CROSS/SHIELD OF MONT |
| Montana | Other | LCSW-503 | BLUE CROSS/SHIELD OF MONT |
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