Organization
BRANDY KELLEY COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDY KELLEY LCPC (OWNER)
(708) 674-2199
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
(217) 383-0964
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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