Individual
DESTINY D KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Mailing address
800 SPRING ST, SHREVEPORT, LA 71101-3758
(318) 670-3170
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/21/2021
Last updated
12/02/2025
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