Sandra Demos Kelley
Professional Counselor
8300 Broadway F1
Merrillville
, Indiana 46410-8602
Sandra Demos Kelley
Professional Counselor
8300 Broadway F1
Merrillville
, Indiana 46410-8602
(219) 736-9699
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Sandra Demos Kelley
- 8300 Broadway F1
- Merrillville, IN
- Zip : 46410-8602
- Fax : (219) 736-9699
- Phone : (219) 736-1000
Second Address
- Sandra Demos Kelley
- 8300 Broadway F1
- Merrillville, IN
- Zip : 46410-8602
- Fax : (219) 736-9699
- Phone : (219) 736-1000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 1800004640 | IL |
National Provider Identifier
| NPI | 1003293838 |
|---|---|
| Provider Name | Sandra Demos Kelley |
| First Address | Merrillville, IN 46410-8602 |
| Second Address | Merrillville, IN 46410-8602 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2015 |
| Last Update Date | 30/04/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.