KELLIE ELIZABETH ANDERSON NPI 1073005500

NPI Information

  • NPI: 1073005500
  • Provider Name: KELLIE ELIZABETH ANDERSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 4131 UNIVERSITY BLVD S STE 15
    JACKSONVILLE, FL
    ZIP 32216
  • Phone: (904) 745-0067

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NPI Details

Kellie Elizabeth Anderson is a mental health counselor in Jacksonville, FL. Kellie Elizabeth Anderson NPI is 1073005500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4131 UNIVERSITY BLVD S STE 15
JACKSONVILLE, FL
ZIP 32216-346
Phone: (904) 745-0067

The enumeration date for this NPI number is 5/31/2018 and was last updated on 5/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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