Yselonia, Kimberlee

Yselonia, Kimberlee is an sole proprietor health care provider with primary practice located at 1301 Plantation Island Dr S Suite 201A, St Augustine FL 32080-3108. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Yselonia, Kimberlee can be contacted via phone (904) 808-7362.

Contact Information

Primary practice address
1301 Plantation Island Dr S Suite 201A St Augustine FL 32080-3108
Phone: (904) 808-7362
Fax: (904) 808-7363
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 888732200 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW 10934 Florida

Profile Details

NPI number 1447303375
LBN Legal business name Yselonia, Kimberlee
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2007
Last updated May 10th, 2013 - about 12 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 1447303375 NPPES
Florida MEDICAID 811740300

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