Williams Roach, Kealey Anne
Williams Roach, Kealey Anne is an sole proprietor health care provider with primary practice located at 18600 E 37Th Ter S , Independence MO 64057-1707. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Williams Roach, Kealey Anne can be contacted via phone (816) 350-0215.Contact Information
Primary practice address
18600 E 37Th Ter S
Independence MO 64057-1707
Phone: (816) 350-0215
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2001018056 | Missouri |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2001018056 | Missouri |
Profile Details
| NPI number | 1174651855 |
|---|---|
| LBN Legal business name | Williams Roach, Kealey Anne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2007 |
| Last updated | Aug 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174651855 | NPPES |
| Missouri | MEDICAID | 495378317 |
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