MRS. K. MICHELLE KELLY LSW LPCC NPI 1073934105

NPI Information

NPI: 1073934105
Provider Name: MRS. K. MICHELLE KELLY, LSW, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2587 BACK ORRVILLE RD
WOOSTER, OH
ZIP 44691
Phone: (330) 264-9579
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MRS. K. Michelle Kelly, LSW, LPCC is a professional counselor in Wooster, OH. MRS. K. Michelle Kelly, LSW, LPCC NPI is 1073934105. 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:

2587 BACK ORRVILLE RD
WOOSTER, OH
ZIP 44691-523
Phone: (330) 264-9579
Fax: (330) 264-0946

The enumeration date for this NPI number is 12/16/2013 and was last updated on 4/5/2016.

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
1	101YP1600X	Counselor	Pastoral	C.1300607	OHIO	No
2	104100000X	Social Worker		S.0025386	OHIO	No
3	101YP2500X	Counselor	Professional	E.1300607	OHIO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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