Individual
ALISON KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13515 LAKE TERRACE LN, TAMPA, FL 33637-1003
(813) 497-0184
Mailing address
726 75TH AVE N, ST PETERSBURG, FL 33702-5226
(708) 215-0441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
Primary
PY13160
FL
Other
Enumeration date
09/23/2021
Last updated
04/16/2026
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