Organization
TIM KELLY, LCSW, PSYCHOTHERAPIST, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY MATTHIAS KELLY LCSW (PRESIDENT)
(305) 872-3187
Entity
Organization
Contact information
Practice address
3706 N ROOSEVELT BLVD, B, KEY WEST, FL 33040-4566
(305) 294-1277
(305) 294-8927
Mailing address
3706 N ROOSEVELT BLVD, B, KEY WEST, FL 33040-4566
(305) 294-1277
(305) 294-8927
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW3573
FL
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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