Doctor Name: | KELLIE FLONNOY |
NPI Number: | 1063869410 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | C.0900220 |
Business Practice Address: | 1641 Payne Ave Cleveland, OH - 441142919 |
Business Phone Number: | 2169876849 |
Business Fax Number: | |
Mailing Address: | 6753 State Rd, PARMA |
State: | OH |
Postal Code: | 441344517 |
Phone Number: | 4408435544 |
Fax Number: | 4408431633 |
NPI Enumeration Date: | 05/16/2016 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | C.0900220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |