Kelly Vahey, Lcsw-c | |
11350 Mccormick Rd # Ll10 Hunt Valley MD 21031-1002 | |
(410) 494-0085 | |
Not Available |
Full Name | Kelly Vahey, Lcsw-c |
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Speciality | Clinic/Center |
Location | 11350 Mccormick Rd # Ll10, Hunt Valley, Maryland |
Authorized Official Name and Position | Kelly Vahey (PROVIDER) |
Authorized Official Contact | 4104940085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kelly Vahey, Lcsw-c 8 Middle Woods Ct Parkton MD 21120-8915 Ph: (410) 494-0085 | Kelly Vahey, Lcsw-c 11350 Mccormick Rd # Ll10 Hunt Valley MD 21031-1002 Ph: (410) 494-0085 |
NPI Number | 1619521333 |
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Provider Enumeration Date | 07/31/2019 |
Last Update Date | 07/31/2019 |
Medicare PECOS PAC ID | 2365772084 |
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Medicare Enrollment ID | O20190924000473 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619521333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
302F00000X | Exclusive Provider Organization | (* (Not Available)) | Secondary |
Provider Name | Kelly M Vahey |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1700934007 PECOS PAC ID: 5991934416 Enrollment ID: I20140204000319 |
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