KELLY WALLIS LCPC
NPI 1659862050
Counselor - Professional in Timonium, MD
- Individual
- Female
- Counselor
- Professional
- Accepts Insurance
About KELLY WALLIS
This page provides the complete NPI Profile along with additional information for Kelly Wallis, a provider established in Timonium, Maryland with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1659862050 assigned on May 2018. The practitioner's primary taxonomy code is 101YP2500X with license number LC8679 (MD). The provider is registered as an individual and her NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1659862050 Verify this NPI
- Provider Name
- KELLY WALLIS LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9475 DEERECO RD STE 410 TIMONIUM, MD 21093
- Location Phone
- (410) 560-6135
- Mailing Address
- PO BOX 616 FINKSBURG, MD 21048
- Mailing Phone
- (410) 998-3920
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-22-2018
- Last Update Date
- 05-22-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LC8679
- License State
- MD
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect 1500 Gold - EPO
- Connect 6000 Silver - EPO
- Connect 9800 Bronze - EPO
- HSA Qualified 7500 Bronze - Choice Network - EPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Choice Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Choice Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Choice Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for KELLY WALLIS LCPC
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Other Providers at the Same Location
The following 18 providers are registered at the same or a nearby location.
LUTHERVILLE TIMONIUM, MD 21093
TIMONIUM, MD 21093
TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659862050, enumerated as an "individual" on May 22, 2018.
The provider is located at 9475 DEERECO RD STE 410 TIMONIUM, MD 21093 and the phone number is (410) 560-6135.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.
