| Kelly Psychiatric Services, Llc | |
|
185 Whitesport Dr Sw Ste 5 Huntsville AL 35801-6487 | |
| (256) 880-3500 | |
| (256) 880-9203 |
| Full Name | Kelly Psychiatric Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 185 Whitesport Dr Sw Ste 5, Huntsville, Alabama |
| Authorized Official Name and Position | Lauren Digesu Kelly (OWNER) |
| Authorized Official Contact | 2568803500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Psychiatric Services, Llc 2530 Bonnie Oaks Dr Sw Huntsville AL 35803-3530 Ph: (256) 652-8219 | Kelly Psychiatric Services, Llc 185 Whitesport Dr Sw Ste 5 Huntsville AL 35801-6487 Ph: (256) 880-3500 |
| NPI Number | 1801603634 |
|---|---|
| Provider Enumeration Date | 12/16/2024 |
| Last Update Date | 12/16/2024 |
| Certification Date | 12/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801603634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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