Individual
MS. EMILY ANN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2761
(205) 510-2790
Mailing address
1401 20TH ST S, BIRMINGHAM, AL 35205-4913
(205) 510-2761
(205) 510-2790
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015B
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51531958
BLUE CROSS BLUE SHIELD
AL
01
—
51536727
BLUE CROSS BLUE SHIELD
AL
01
—
6231100
ALLKIDS INSURANCE (UBH)
AL
01
—
6274798
UNITED BEHAVIORAL HEALTH
AL
Enumeration date
05/31/2006
Last updated
12/18/2007
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