# KELLEY MENTAL HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RYAN KELLEY
- **Other names:** RYAN KELLEY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669063491
- **Legal business name:** RYAN KELLEY
- **Authorized official:** RYAN KELLEY PMHNP (OWNER)
- **Authorized official phone:** (337) 643-8424

## Contact information

- **Practice address:** 304 E VETERANS MEML DR, KAPLAN, LA 70548-5009
- **Practice address phone:** (337) 643-8424
- **Mailing address:** 304 E VETERANS MEML DR, KAPLAN, LA 70548-5009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 02/03/2021