Individual
MS. AMBER SMOOT KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
140 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103-6185
(336) 718-7250
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 718-7250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
S3134
NC
106H00000X
Marriage & Family Therapist
Primary
3134
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11937
BCBS PRIVATE INSURANCE
NC
05
—
6102017
—
NC
01
—
86362
MEDCAST PRIVATE INSURANCE
NC
Enumeration date
02/16/2007
Last updated
05/27/2026
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