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KELLY MARIE RUNK LCDC
NPI 1215504584
Counselor - Addiction (Substance Use Disorder) in Longview, TX

Active since June 07, 2021
950 N 4TH ST, LONGVIEW, TX 75601(903) 758-2471(903) 234-1639 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Marie Runk Lcdc NPPES

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

KELLY MARIE RUNK LCDC (NPI 1215504584) is an individual addiction (substance use disorder) provider in Longview, Texas, licensed in Texas (14164) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1215504584
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY MARIE RUNKCredential: LCDC
Location Address950 N 4TH STLongview, TX 75601-5436
Mailing Address107 Woodbine PlLongview, TX 75601-2912 · (903) 758-2471 · Fax (903) 234-1639
Phone(903) 758-2471
Fax(903) 234-1639
Sole ProprietorYes
Enumeration DateJune 7, 2021
NPPES CertifiedJune 7, 2021
✔ NPI 1215504584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in TX · 14164
950 N 4TH ST, Longview, TX 75601
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Other Providers at the Same Location NPPES 20

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

SHELLEY ELAINE NORMAN LCDC
Counselor (Addiction (Substance Use Disorder))
950 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 758-2471
HOLLYE GOODSON
Counselor (Addiction (Substance Use Disorder))
950 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 758-2471
TRISHA THOMPSON
Counselor (Addiction (Substance Use Disorder))
950 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 758-0596
BRADEN FRIEDRICH LPC
Counselor (Professional)
950 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 619-3867
ETHEL MARIE WRIGHT-THOMPSON LCDC
Counselor (Addiction (Substance Use Disorder))
950 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 758-0596
SANDRA LEE SEARLE LPC
Counselor (Professional)
950 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 758-2471
TONY HALLMARK
Counselor (Addiction (Substance Use Disorder))
950 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 758-2471
MR. MITCHELL G GRAYSON LCDC
Counselor (Addiction (Substance Use Disorder))
950 N 4TH ST
LONGVIEW, TX 75601
Gregg County (903) 758-0596

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 Runk's NPI number?

The NPI number for Kelly Runk is 1215504584. It was assigned to this individual provider in the NPPES registry on June 7, 2021.

Where is Kelly Runk located?

Kelly Runk practices at 950 N 4th St, Longview, TX 75601. The listed phone number is (903) 758-2471.

What is Kelly Runk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Runk was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.