# THE KELLY CODE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Kelly Code
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922577022
- **Authorized official:** MRS. KIM J KELLY LCAS (OWNER)
- **Authorized official phone:** (252) 412-1963

## Contact information

- **Practice address:** 3219 LANDMARK ST STE B, GREENVILLE, NC 27834-7688
- **Practice address phone:** (252) 412-1963
- **Mailing address:** 205 WESTWOOD DR, GREENVILLE, NC 27834-5015
- **Mailing address phone:** (252) 412-1963
- **Mailing address fax:** (252) 364-2248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2018
- **Last updated:** 11/19/2018