Individual
MRS. KATIE LYN KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1222 MEDICAL CENTER DR, COLUMBIA, TN 38401-6402
(931) 490-1500
Mailing address
1222 MEDICAL CENTER DR, COLUMBIA, TN 38401-6402
(931) 490-1500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH 10059
FL
101YM0800X
Mental Health Counselor
Primary
MH13033
FL
Other
Enumeration date
08/13/2012
Last updated
09/20/2016
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