MRS. BRANDY KELLEY LCPC
NPI 1144726373
Counselor - Professional in Miami, FL
Active since April 05, 2018
About Mrs. Brandy Kelley Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BRANDY KELLEY LCPC (NPI 1144726373) is an individual professional provider in Miami, Florida, licensed in Illinois (180014776) and active in the NPI registry since April 2018. She maintains a secondary practice location in Decatur.
NPPES Registry Identity
NPI1144726373
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. BRANDY KELLEYCredential: LCPC
Location Address66 W FLAGLER STMiami, FL 33130-1807
Mailing Address307 Austin AveEffingham, IL 62401-2707 · (086) 742-1997
Phone(786) 244-7711
Sole ProprietorNo
Enumeration DateApril 5, 2018
Last NPPES UpdateOctober 24, 20222 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1144726373 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180014776
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 178-013578 (IL)
66 W FLAGLER ST, Miami, FL 33130
Secondary Practice Location 1
Location 1151 N Main StDecatur, IL 62523-1206 · Phone (217) 362-6262 · Fax (217) 362-6290
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Family)
66 W FLAGLER ST, STE 900-10669
MIAMI, FL 33130
MIAMI, FL 33130
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144726373, enumerated as an "individual" on April 05, 2018.
The provider is located at 66 W FLAGLER ST MIAMI, FL 33130 and the phone number is (786) 244-7711.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
