| Kathleen Kelly | |
|
1070 W Horizon Ridge Pkwy Suite 200 Henderson NV 89012-6016 | |
| (702) 349-7309 | |
| (702) 558-0881 |
| Full Name | Kathleen Kelly |
|---|---|
| Speciality | Counselor |
| Location | 1070 W Horizon Ridge Pkwy, Henderson, Nevada |
| Authorized Official Name and Position | Kathleen Lorraine Kelly (OWNER) |
| Authorized Official Contact | 7023497309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Kelly 1070 W Horizon Ridge Pkwy Suite 200 Henderson NV 89012-6016 Ph: (702) 349-7309 | Kathleen Kelly 1070 W Horizon Ridge Pkwy Suite 200 Henderson NV 89012-6016 Ph: (702) 349-7309 |
| NPI Number | 1972872182 |
|---|---|
| Provider Enumeration Date | 12/16/2011 |
| Last Update Date | 09/27/2017 |
| Medicare PECOS PAC ID | 2769644129 |
|---|---|
| Medicare Enrollment ID | O20120501000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972872182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 201130254 (Nevada) | Primary |
| Provider Name | Kathleen L Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073664710 PECOS PAC ID: 4587741806 Enrollment ID: I20080410000131 |
Bright Minds Aba Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 Brookridge Dr, Henderson, NV 89052 Phone: 702-524-0441 | |
A-ajayi Md,pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8965 S Pecos Rd, Suite 10b, Henderson, NV 89074 Phone: 702-826-4942 Fax: 702-826-2191 | |
Open Arms Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 W Atlantic Ave, Henderson, NV 89015 Phone: 702-823-4300 Fax: 702-906-1844 | |
Changing Minds Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 W Horizon Ridge Pkwy, Henderson, NV 89052 Phone: 702-405-8088 | |
Why Not Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3716 Via Geneva, Henderson, NV 89052 Phone: 725-780-9794 | |
Child Neurology Specialists Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2821 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-920-0290 Fax: 702-789-1050 | |
Ipsum Monitoring Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2831 Saint Rose Pkwy, Suite 200, Henderson, NV 89052 Phone: 801-717-8487 Fax: 303-922-4640 |