Kelly Elizabeth Mailler, LCAS-A is a
Counselor - Addiction (substance Use Disorder) based in Charlotte, North Carolina. Kelly Elizabeth Mailler is licensed to practice in North Carolina (license number LCAS-25966) and her current practice location is
515 Clanton Rd, Charlotte, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(704) 332-9001.
NPI number for Kelly Elizabeth Mailler is 1790975514 and her current mailing address is 515 Clanton Rd, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790975514.
Healthcare Provider's Profile
Full Name | Kelly Elizabeth Mailler |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 515 Clanton Rd, Charlotte, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790975514
- Provider Enumeration Date: 07/27/2007
- Last Update Date: 11/19/2020
Medical Identifiers
Medical identifiers for Kelly Elizabeth Mailler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790975514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-25966 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Elizabeth Mailler is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly Elizabeth Mailler, LCAS-A 515 Clanton Rd, Charlotte, NC 28217-1309 Ph: (704) 332-9001 | Kelly Elizabeth Mailler, LCAS-A 515 Clanton Rd, Charlotte, NC 28217-1309 Ph: (704) 332-9001 |
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