# KELLY D. MAYER LMHC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homer Counseling and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588135479
- **Authorized official:** KELLY D. MAYER LMHC (OWNER)
- **Authorized official phone:** (607) 662-4141

## Contact information

- **Practice address:** 6 N WEST ST STE 5, HOMER, NY 13077-1068
- **Practice address phone:** (607) 662-4141
- **Practice address fax:** (607) 662-4006
- **Mailing address:** 6 N WEST ST STE 5, HOMER, NY 13077-1068
- **Mailing address phone:** (607) 662-4141
- **Mailing address fax:** (607) 662-4006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 12/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 008507-1 | LICENCE NUMBER | NY |
