MS. KELLY PETERS LPC NPI 1407236581

NPI Information

NPI: 1407236581
Provider Name: MS. KELLY PETERS, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
6060 RIDGE AVE
SUITE 210
PHILADELPHIA, PA
ZIP 19128
Phone: (267) 536-9384
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MS. Kelly Peters, LPC is a professional counselor in Philadelphia, PA. MS. Kelly Peters, LPC NPI is 1407236581. 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:

6060 RIDGE AVE
SUITE 210
PHILADELPHIA, PA
ZIP 19128-657
Phone: (267) 536-9384

The enumeration date for this NPI number is 6/4/2015 and was last updated on 6/4/2015.

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	101YM0800X	Counselor	Mental Health	PC008088	PENNSYLVANIA	No
2	101YP2500X	Counselor	Professional	PC 008088	PENNSYLVANIA	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: 11/14/2023

NPI Synchronization or Removal

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