KRYSTAL KELLY LPC NPI 1821753658

NPI Information

NPI: 1821753658
Provider Name: KRYSTAL KELLY, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
27 HOLMES DR
WINDSOR, CT
ZIP 06095
Phone: (860) 905-4776
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Krystal Kelly, LPC is a professional counselor in Windsor, CT. Krystal Kelly, LPC NPI is 1821753658. 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:

27 HOLMES DR
WINDSOR, CT
ZIP 06095-969
Phone: (860) 905-4776

The enumeration date for this NPI number is 11/6/2021 and was last updated on 1/4/2023.

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	101Y00000X	Counselor		004885	CONNECTICUT	No
2	101YM0800X	Counselor	Mental Health	004885	CONNECTICUT	No
3	101YP2500X	Counselor	Professional	004885	CONNECTICUT	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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