Talley, Kourtni

Talley, Kourtni is an individual health care provider with primary practice located at 33155 Annapolis St , Wayne MI 48184-2405. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Talley, Kourtni can be contacted via phone (947) 518-1127.

Contact Information

Primary practice address
33155 Annapolis St Wayne MI 48184-2405
Phone: (947) 518-1127
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1871245993
LBN Legal business name Talley, Kourtni
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2022
Last updated Nov 15th, 2022 - about 2 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 1871245993 NPPES
Michigan Other 6851114943 LIMITED LICENSE MASTER SOCIAL WORKERS

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