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KELLY JANESE BALLANTINE LMHC
NPI 1649576596
Counselor - Mental Health in Lakeland, FL

Active since February 09, 2011
1835 GILMORE AVE, LAKELAND, FL 33805(863) 519-0575(863) 582-9251 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Janese Ballantine Lmhc NPPES

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

KELLY JANESE BALLANTINE LMHC (NPI 1649576596) is an individual mental health provider in Lakeland, Florida, licensed in Florida (MH8819) and active in the NPI registry since February 2011.

NPPES Registry Identity

NPI1649576596
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKELLY JANESE BALLANTINECredential: LMHC
Location Address1835 GILMORE AVELakeland, FL 33805-3017
Mailing AddressPo Box 1559Bartow, FL 33831-1559 · (863) 519-0575 · Fax (863) 582-9251
Phone(863) 519-0575
Fax(863) 582-9251
Sole ProprietorNo
Enumeration DateFebruary 9, 2011
Last NPPES UpdateJune 22, 2015
✔ NPI 1649576596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH8819
1835 GILMORE AVE, Lakeland, FL 33805
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Other Identifiers 1

Medicaid004724100FL

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.

OLIVIA ANDERSON LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
CHARLES A BARRIOS MD
Psychiatry & Neurology (Psychiatry)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MYRIAM BUITRAGO LMHC
Counselor (Mental Health)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MRS. TONYA FLORES LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
MARY E BRADY LPN
Licensed Practical Nurse
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
EDITH CREMERIUS MSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
JESSICA DOBBERTIN BORRUSO LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575
ADELMA ANSLEY KILGORE LCSW
Social Worker (Clinical)
1835 GILMORE AVE
LAKELAND, FL 33805
Polk County (863) 519-0575

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 Ballantine's NPI number?

The NPI number for Kelly Ballantine is 1649576596. It was assigned to this individual provider in the NPPES registry on February 9, 2011.

Where is Kelly Ballantine located?

Kelly Ballantine practices at 1835 Gilmore Ave, Lakeland, FL 33805. The listed phone number is (863) 519-0575.

What is Kelly Ballantine'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 Ballantine was last updated on June 22, 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.