Organization
KELLEY MASSENGALE, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY MASSENGALE LCSW (OWNER)
(225) 246-2359
Entity
Organization
Contact information
Practice address
3428 LIME ST, VESTAVIA, AL 35242-6340
(225) 326-9490
Mailing address
3428 LIME ST, VESTAVIA, AL 35242-6340
(225) 326-9490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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