Individual
SHANCY KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
5401 COLLEGE BLVD STE 206, LEAWOOD, KS 66211-1662
(913) 210-0856
Mailing address
12641 ANTIOCH RD # 130, OVERLAND PARK, KS 66213-1701
(913) 210-0856
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
01557
KS
103TC1900X
Counseling Psychologist
Primary
01557
KS
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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