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MS. MARY LEE KELLEY LCDC
NPI 1821753591
Counselor - Addiction (Substance Use Disorder) in Dallas, TX

Active since November 07, 2021
4645 SAMUELL BLVD, DALLAS, TX 75228(214) 743-1200 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2022, Jan 25, 2022, Nov 7, 2021 (3 updates tracked since 2021).

About Ms. Mary Lee Kelley Lcdc NPPES

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

MS. MARY LEE KELLEY LCDC (NPI 1821753591) is an individual addiction (substance use disorder) provider in Dallas, Texas, licensed in Texas (15183) and active in the NPI registry since November 2021. She maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1821753591
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. MARY LEE KELLEYCredential: LCDC
Location Address4645 SAMUELL BLVDDallas, TX 75228-6826
Mailing Address6619 Whitneyglen DrDallas, TX 75241-3785 · (214) 414-6797
Phone(214) 743-1200
Sole ProprietorYes
Enumeration DateNovember 7, 2021
Last NPPES UpdateMay 20, 20223 updates tracked since enumeration
NPPES CertifiedMay 20, 2022
✔ NPI 1821753591 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 TX · 15183
4645 SAMUELL BLVD, Dallas, TX 75228
Open in Google Maps ↗

Secondary Practice Location 1

Location 16619 Whitneyglen DrDallas, TX 75241-3785 · Phone (214) 414-6797

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.

PIN-HSUAN HUANG
Counselor (Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Dallas County (214) 906-4980
AURELIA D BUJU ANP-C
Nurse Practitioner
4645 SAMUELL BLVD
DALLAS, TX 75228
Dallas County (214) 275-7393
JOANNA MCCLAIN RN
Registered Nurse (Psychiatric/Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Dallas County (214) 275-7393
MICHAEL MESFUN PIC
Pharmacist
4645 SAMUELL BLVD
DALLAS, TX 75228
Dallas County (972) 861-5615
MRS. ANTHONIA ONYINYE OYERINDE PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4645 SAMUELL BLVD
DALLAS, TX 75228
Dallas County (214) 743-1200
MR. VINCENT OKECHUKWU ANOKWUTE
Counselor
4645 SAMUELL BLVD
DALLAS, TX 75228
Dallas County (214) 743-1200
GINA AHN PSYD, LCDC
Counselor (Addiction (Substance Use Disorder))
4645 SAMUELL BLVD
DALLAS, TX 75228
Dallas County (214) 275-7393
ERICA BARRAZA LPC , LCDC
Counselor (Professional)
4645 SAMUELL BLVD
DALLAS, TX 75228
Dallas County (214) 330-0036

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 Mary Kelley's NPI number?

The NPI number for Mary Kelley is 1821753591. It was assigned to this individual provider in the NPPES registry on November 7, 2021.

Where is Mary Kelley located?

Mary Kelley practices at 4645 Samuell Blvd, Dallas, TX 75228. The listed phone number is (214) 743-1200.

What is Mary Kelley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mary Kelley was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.