| Kellie L. Valentine Lpc Llc | |
|
208 E Bayfront Pkwy Suite 200 Erie PA 16507-2414 | |
| (814) 871-6333 | |
| (814) 871-6335 |
| Full Name | Kellie L. Valentine Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 208 E Bayfront Pkwy, Erie, Pennsylvania |
| Authorized Official Name and Position | Kellie Lee Valentine (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 8148716333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kellie L. Valentine Lpc Llc 208 E Bayfront Pkwy Suite 200 Erie PA 16507-2414 Ph: (814) 871-6333 | Kellie L. Valentine Lpc Llc 208 E Bayfront Pkwy Suite 200 Erie PA 16507-2414 Ph: (814) 871-6333 |
| NPI Number | 1174905111 |
|---|---|
| Provider Enumeration Date | 06/26/2015 |
| Last Update Date | 06/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174905111 | NPI | - | NPPES |
| 102667010001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC003467 (Pennsylvania) | Primary |
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