Mr Harold H Kelly, LMFT, LCDC | |
2711 Plantation Wood Ln, Missouri City, TX 77459-4326 | |
(956) 661-1816 | |
Not Available |
Full Name | Mr Harold H Kelly |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 2711 Plantation Wood Ln, Missouri City, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235431461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 2416 (Texas) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2037 (Texas) | Secondary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
---|---|
Mr Harold H Kelly, LMFT, LCDC 2711 Plantation Wood Ln, Missouri City, TX 77459-4326 Ph: (956) 491-2237 | Mr Harold H Kelly, LMFT, LCDC 2711 Plantation Wood Ln, Missouri City, TX 77459-4326 Ph: (956) 661-1816 |
Harold H Boggs, LMFT, LCDC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6140 Highway 6, Suite 260, Missouri City, TX 77459 Phone: 971-223-3885 | |
Ashley Whitley, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2006 Summer Place Dr, Missouri City, TX 77489 Phone: 225-276-7739 |