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KELLY FOUNTAIN, M.S., L.P.T., L.L.C.
NPI 1154714384
Counselor in Mobile, AL

Active since March 12, 2015
2864 DAUPHIN ST, SUITE A, MOBILE, AL 36606(251) 470-7607 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Fountain, M.s., L.p.t., L.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY FOUNTAIN, M.S., L.P.T., L.L.C. (NPI 1154714384) is a healthcare organization registered as a counselor in Mobile, Alabama and active in the NPI registry since March 2015. The organization lists Kelly Fountain, Owner, as its authorized official.

NPPES Registry Identity

NPI1154714384
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameKELLY FOUNTAIN, M.S., L.P.T., L.L.C.
Location Address2864 DAUPHIN ST, SUITE AMobile, AL 36606-2479
Mailing Address2864 Dauphin St, Suite AMobile, AL 36606-2479
Phone(251) 470-7607
Organization SubpartNo
Authorized OfficialKelly FountainOwner · (251) 470-7607
Enumeration DateMarch 12, 2015
✔ NPI 1154714384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in AL · 1586
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2864 DAUPHIN ST, Mobile, AL 36606
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Other Identifiers 2

Other511-33704AL · Blue Cross Blue Shield
Other1003148487AL · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY RAWLS FOUNTAIN M.S., L.P.T.
Counselor
2864 DAUPHIN ST, SUITE A
MOBILE, AL 36606
Mobile County (251) 470-7607
DR. MELANIE HOPE JACKSON PHD, LLC
Psychologist (Clinical)
2864 DAUPHIN ST, SUITE A
MOBILE, AL 36606
Mobile County (251) 259-8573
CATALINA ARATA PHD
Psychologist (Clinical)
2864 DAUPHIN ST, SUITE A
MOBILE, AL 36606
Mobile County (251) 470-7607
M HOPE JACKSON PHD LLC
Psychologist (Clinical)
2864 DAUPHIN ST, SUITE A
MOBILE, AL 36606
Mobile County (251) 470-7607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Fountain, M.S., L.P.T., L.L.C.'s NPI number?

The NPI number for Kelly Fountain, M.S., L.P.T., L.L.C. is 1154714384. It was assigned to this organization in the NPPES registry on March 12, 2015.

Where is Kelly Fountain, M.S., L.P.T., L.L.C. located?

Kelly Fountain, M.S., L.P.T., L.L.C. is located at 2864 Dauphin St Suite A, Mobile, AL 36606. The listed phone number is (251) 470-7607.

What is Kelly Fountain, M.S., L.P.T., L.L.C.'s specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Fountain, M.S., L.P.T., L.L.C. was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.