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KELLI SIECZKOWSKI, PLLC
NPI 1851830582
Community/Behavioral Health in Mesa, AZ

Active since February 14, 2017
1930 S ALMA SCHOOL RD STE D202, MESA, AZ 85210(480) 630-0316 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2019, Feb 14, 2017 (2 updates tracked since 2017).

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Community/Behavioral Health

About KELLI SIECZKOWSKI, PLLC

This page provides the complete NPI Profile along with additional information for Kelli Sieczkowski, Pllc, a provider established in Mesa, Arizona operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1851830582 assigned on February 2017. The practitioner's primary taxonomy code is 251S00000X with license number LCSW10655 (AZ). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Ms. Kelli Lynn Sieczkowski Lcsw (Owner)

NPI
1851830582 Verify this NPI
Provider Name
KELLI SIECZKOWSKI, PLLC
Entity Type
Organization
Location Address
1930 S ALMA SCHOOL RD STE D202 MESA, AZ 85210
Location Phone
(480) 630-0316
Mailing Address
2469 W ZEPHER AVE FLAGSTAFF, AZ 86001
Mailing Phone
(928) 225-9585
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2017
Last Update Date
07-08-2019
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
LCSW10655
License State
AZ
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. KELLI LYNN SIECZKOWSKI LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(480) 630-0613

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Frequently Asked Questions

What is KELLI SIECZKOWSKI, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1851830582, enumerated as an "organization" on February 14, 2017.

Where is the provider located?

The provider is located at 1930 S ALMA SCHOOL RD STE D202 MESA, AZ 85210 and the phone number is (480) 630-0316.

What is the provider's specialty?

Community/Behavioral Health with taxonomy code 251S00000X.