Individual
KELLY MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
(216) 739-3638
Mailing address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 741-2241
(216) 739-3638
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2305622
OH
101YP2500X
Professional Counselor
Primary
C.2305622
OH
171M00000X
Case Manager/Care Coordinator
—
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/02/2021
Last updated
03/02/2026
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