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Contact Information

JEANNIE M KELLY, LPC/MHSP
704 HIGHWAY 100
SUITE 101
CENTERVILLE, TN37033
 Phone: 931-729-3573
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JEANNIE M KELLY · (Female)

NPI # 1477703171
Status Active
Credentials LPC/MHSP
Entity Individual
Enumeration date 09/30/2008
Last updated 09/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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