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KEALIE KELLEY LAC
NPI 1306642186
Counselor in Russellville, AR

Active since February 21, 2025
1310 W MAIN ST STE 100, RUSSELLVILLE, AR 72801(479) 964-2011 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kealie Kelley Lac NPPES

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

KEALIE KELLEY LAC (NPI 1306642186) is an individual counselor in Russellville, Arkansas, licensed in Arkansas (A2502019) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1306642186
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKEALIE KELLEYCredential: LAC
Location Address1310 W MAIN ST STE 100Russellville, AR 72801-2803
Mailing Address1310 W Main St Ste 201Russellville, AR 72801-2803 · (479) 964-2011
Phone(479) 964-2011
Sole ProprietorNo
Enumeration DateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
✔ NPI 1306642186 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 AR · A2502019
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.
1310 W MAIN ST STE 100, Russellville, AR 72801
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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.

MRS. MARILYN JEAN MCKOWN MHPP
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
AMANDA DAVIS LPC
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
KELCEE SITZES QBHP-D
Case Manager/Care Coordinator
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
LESLIE SOUTHALL
Counselor (Professional)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
JESSICA L BRADWELL MS
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
ALEC FONTENOT LAC
Counselor (Mental Health)
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 968-2001
BROOKE GRICE LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011
ASHTON GUTHRIE LAC
Counselor
1310 W MAIN ST STE 100
RUSSELLVILLE, AR 72801
Pope County (479) 964-2011

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 Kealie Kelley's NPI number?

The NPI number for Kealie Kelley is 1306642186. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Where is Kealie Kelley located?

Kealie Kelley practices at 1310 W Main St Ste 100, Russellville, AR 72801. The listed phone number is (479) 964-2011.

What is Kealie Kelley'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 Kealie Kelley was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.