Kelley Therapeutic Services Llc in Suwanee - Clinical
Kelley Therapeutic Services Llc - NPI 1700094349
Kelley Therapeutic Services Llc is a Clinical in Suwanee, Georgia. Kelley Therapeutic Services Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelley Therapeutic Services Llc is 1700094349. The last update date is 2008-04-29.
Kelley Therapeutic Services Llc's current location address is 5400 Laurel Springs Pkwy, Suwanee, Georgia. You can contact this provider via phone number 6789085543. The mailing address for Kelley Therapeutic Services Llc is 5400 Laurel Springs Pkwy, Suwanee, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelley Therapeutic Services Llc |
|---|---|
| Address | 5400 Laurel Springs Pkwy, Suwanee, Georgia |
| Phone Number | 6789085543 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kelley Lisa |
| Credentials | LCSW |
| Telephone Number | 6789085543 |
NPI Number Detail
| NPI Number | 1700094349 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2008-04-29 |
Provider Mailing Address Detail
| Address | 5400 Laurel Springs Pkwy |
|---|---|
| City | Suwanee |
| State | Georgia (GA) |
| Post Code | 300246056 |
| Phone Number | 6789085543 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3314 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the Kelley Therapeutic Services Llc's 1700094349?
The Kelley Therapeutic Services Llc's NPI (National Provider Identifier) Number is 1700094349. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelley Therapeutic Services Llc?
The Kelley Therapeutic Services Llc is physically situated at 5400 Laurel Springs Pkwy, in the city of Suwanee, state of GA, with the postal code 300246056.
What is the area of specialization for Kelley Therapeutic Services Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelley Therapeutic Services Llc is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1700094349 to Kelley Therapeutic Services Llc?
The Centers for Medicare & Medicaid Services assigned the 1700094349 to Kelley Therapeutic Services Llc on 2007-05-18.
As of what date were the Kelley Therapeutic Services Llc's details last updated?
The information pertaining to the Kelley Therapeutic Services Llc, including its address, specialty, and other details, was most recently updated on 2008-04-29.
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