KELLEY M SANDOVAL RAC
NPI 1679878235
Counselor - Addiction (Substance Use Disorder) in Pineville, LA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

Active since January 12, 2011

401 RAINBOW DR UNIT 35, PINEVILLE, LA 71360(318) 487-5191 Get Directions Write a Review

NPPES record last updated: January 12, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kelley M Sandoval Rac NPPES

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

KELLEY M SANDOVAL RAC (NPI 1679878235) is an individual addiction (substance use disorder) provider in Pineville, Louisiana, licensed in Louisiana (RAC #1340) and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1679878235

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKELLEY M SANDOVALCredential: RAC

Location Address401 RAINBOW DR UNIT 35Pineville, LA 71360-6979

Mailing Address401 Rainbow Dr Unit 35Pineville, LA 71360-6979 · (318) 487-5191

Phone(318) 487-5191

Sole ProprietorNo

Enumeration DateJanuary 12, 2011

✔ NPI 1679878235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in LA · RAC #1340

401 RAINBOW DR UNIT 35, Pineville, LA 71360

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Other Identifiers 1

Medicare PIN5DL60LA

Other Providers at the Same Location NPPES 11

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

MRS. REGINA CAROL MCLEOD RN, BSN

Registered Nurse (Addiction (Substance Use Disorder))