person
Mrs. Kimberly Ann Kelly, LPC
Professional Counselor in Tupelo, Mississippi
NPI 1992944870

Kimberly Ann Kelly is a Professional Counselor based in Guntown, MS and is specialized in Professional. Kimberly Ann Kelly practices in Tupelo, MS and has the professional credentials of LPC. The NPI Number for Kimberly Ann Kelly is 1992944870 and holds a License No. (Mississippi).

The current practice location address for Kimberly Ann Kelly is 2164 Southridge Dr, Tupelo, MS and can be reached out via phone at 662-760-0115 and via fax at 662-596-0428.

Location: 2164 Southridge Dr, Tupelo, MS, 38849-9106
person
Provider Profile Details
NPI Number
1992944870
Provider Name
Kimberly Ann Kelly
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
2164 Southridge Dr, Tupelo, MS, 38849-9106
Phone Number
662-760-0115
Fax Number
662-596-0428
Provider Enumeration Date
02/17/2009
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83-4622726 05 MS
01376867 05 MS
01437332 05 MS
83-4622726 01 MS COMMERCIAL
001376867 05 MS
001437332 05 MS
institution
Provider Business Practice Location Address Details
Address
2164 Southridge Dr
City
State
Zip
38801-6417
Phone Number
662-760-0115
Fax Number
662-596-0428
person
Provider Business Mailing Address Details
Address
2164 Southridge Dr
City
State
Zip
38801-6417
Phone Number
662-760-0115
Fax Number
662-596-0428
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1923 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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