| J Kelly, Llc | |
|
810 Housman Ct Virginia Beach VA 23462-7010 | |
| (757) 450-3421 | |
| Not Available |
| Full Name | J Kelly, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 810 Housman Ct, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jessica Salome Kelly (BEHAVIOR ANALYST) |
| Authorized Official Contact | 7574503421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Kelly, Llc 810 Housman Ct Virginia Beach VA 23462-7010 Ph: (757) 450-3421 | J Kelly, Llc 810 Housman Ct Virginia Beach VA 23462-7010 Ph: (757) 450-3421 |
| NPI Number | 1427403534 |
|---|---|
| Provider Enumeration Date | 04/26/2016 |
| Last Update Date | 04/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427403534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 01330000363 (Virginia) | Primary |
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