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PHYLLIS JONITA KELLY PCMHT
NPI 1255918405
Counselor - Mental Health in Hazlehurst, MS

Active since March 25, 2021
1019 CARROLL DR, HAZLEHURST, MS 39083(601) 894-2018 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Jonita Kelly Pcmht NPPES

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

PHYLLIS JONITA KELLY PCMHT (NPI 1255918405) is an individual mental health provider in Hazlehurst, Mississippi and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1255918405
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePHYLLIS JONITA KELLYCredential: PCMHT
Location Address1019 CARROLL DRHazlehurst, MS 39083-2036
Mailing Address700 Tatum DrFlorence, MS 39073-6601 · (601) 874-1692
Phone(601) 894-2018
Sole ProprietorYes
Enumeration DateMarch 25, 2021
NPPES CertifiedMarch 25, 2021
✔ NPI 1255918405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1019 CARROLL DR, Hazlehurst, MS 39083
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Other Providers at the Same Location NPPES 13

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

MARCUS JERMAINE STEPHENS
Counselor (Mental Health)
1019 CARROLL DR
HAZLEHURST, MS 39083
Copiah County (601) 894-2018
REGINA SMITH
Counselor (Professional)
1019 CARROLL DR
HAZLEHURST, MS 39083
Copiah County (601) 894-2018
MR. TIMOTHY AARON STANLEY LCMHT
Counselor (Mental Health)
1019 CARROLL DR
HAZLEHURST, MS 39083
Copiah County (601) 894-2018
REMONICA SMITH
Counselor (Mental Health)
1019 CARROLL DR
HAZLEHURST, MS 39083
Copiah County (601) 894-2018
ALYCE MACK
Social Worker
1019 CARROLL DR
HAZLEHURST, MS 39083
Copiah County (601) 894-2018
KEYERA HOLMES PCMHT
Counselor (Mental Health)
1019 CARROLL DR
HAZLEHURST, MS 39083
Copiah County (601) 894-2018
FELICIA D WATSON
Case Manager/Care Coordinator
1019 CARROLL DR
HAZLEHURST, MS 39083
Copiah County (601) 954-8167
BRENDA J MARTIN CMHT
Counselor (Mental Health)
1019 CARROLL DR
HAZLEHURST, MS 39083
Copiah County (601) 894-2018

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 Phyllis Kelly's NPI number?

The NPI number for Phyllis Kelly is 1255918405. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Phyllis Kelly located?

Phyllis Kelly practices at 1019 Carroll Dr, Hazlehurst, MS 39083. The listed phone number is (601) 894-2018.

What is Phyllis Kelly'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 Phyllis Kelly was last updated on March 25, 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.