Walker, Kelly D

Walker, Kelly D is an sole proprietor health care provider with primary practice located at 792 Highway 20 , Youngstown FL 32466-3517. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Emergency Medical Service Providers / Personal Emergency Response Attendant, Other Service Providers / Community Health Worker, Other Service Providers / Prevention Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Walker, Kelly D can be contacted via phone (850) 743-9978.

Contact Information

Primary practice address
792 Highway 20 Youngstown FL 32466-3517
Phone: (850) 743-9978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 319062 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 517068 Florida
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 0090HTG Florida
Other Service Providers / Community Health Worker 172V00000X 590116 Florida
Other Service Providers / Prevention Professional 405300000X 379114 Florida
Behavioral Health & Social Service Providers / Counselor 101Y00000X 36-89142 Florida

Profile Details

NPI number 1114542354
LBN Legal business name Walker, Kelly D
Credentials CIPS, CMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2020
Last updated Mar 30th, 2021 - about 3 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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