| Kelly Carlson, Llc | |
|
2026 Se Ocean Blvd Stuart FL 34996-3304 | |
| (561) 354-8795 | |
| Not Available |
| Full Name | Kelly Carlson, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2026 Se Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Kelly Carlson (OWNER) |
| Authorized Official Contact | 5613548795 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Carlson, Llc 5500 Military Trail #22-106 Jupiter FL 33458 Ph: () - | Kelly Carlson, Llc 2026 Se Ocean Blvd Stuart FL 34996-3304 Ph: (561) 354-8795 |
| NPI Number | 1609277656 |
|---|---|
| Provider Enumeration Date | 09/09/2014 |
| Last Update Date | 09/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609277656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH8729 (Florida) | Primary |
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