| Kelley Massengale, Lcsw, Llc | |
|
3428 Lime St Vestavia AL 35242-6340 | |
| (225) 326-9490 | |
| Not Available |
| Full Name | Kelley Massengale, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3428 Lime St, Vestavia, Alabama |
| Authorized Official Name and Position | Kelley Massengale (OWNER) |
| Authorized Official Contact | 2252462359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley Massengale, Lcsw, Llc 3428 Lime St Vestavia AL 35242-6340 Ph: (225) 326-9490 | Kelley Massengale, Lcsw, Llc 3428 Lime St Vestavia AL 35242-6340 Ph: (225) 326-9490 |
| NPI Number | 1720855414 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 12/04/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720855414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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