KELLY HOLLOMAN GARDNER LPC
NPI 1245420520
Counselor - Mental Health in Southaven, MS

Active since August 01, 2007
7165 GETWELL RD BLDG G, SOUTHAVEN, MS 38672(662) 349-2818 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Holloman Gardner Lpc NPPES

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

KELLY HOLLOMAN GARDNER LPC (NPI 1245420520) is an individual mental health provider in Southaven, Mississippi and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1245420520
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY HOLLOMAN GARDNERCredential: LPC
Location Address7165 GETWELL RD BLDG GSouthaven, MS 38672-9619
Mailing Address1070 Perkins TerMemphis, TN 38117-5506
Sole ProprietorYes
Enumeration DateAugust 1, 2007
Last NPPES UpdateMarch 4, 2013
NPI 1245420520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7165 GETWELL RD BLDG G, Southaven, MS 38672

Other Providers at the Same Location NPPES 3

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

Durable Medical Equipment & Medical Supplies
7165 GETWELL RD BLDG G
SOUTHAVEN, MS 38672
Pharmacy (Community/Retail Pharmacy)
7165 GETWELL RD BLDG G
SOUTHAVEN, MS 38672
Counselor (Professional)
7165 GETWELL RD BLDG G
SOUTHAVEN, MS 38672

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 Gardner's NPI number?

The NPI number for Kelly Gardner is 1245420520. It was assigned to this individual provider in the NPPES registry on August 1, 2007.

Where is Kelly Gardner located?

Kelly Gardner practices at 7165 Getwell Rd Bldg G, Southaven, MS 38672. The listed phone number is (662) 349-2818.

What is Kelly Gardner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Gardner was last updated on March 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.