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NPI Code Detail

MEDICARE: DAVID, KELLY

MEDICARE: DAVID, KELLY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1144842527
Entity Type Code : Organization
Provider Name (Legal Business Name) : DAVID, KELLY
Provider Business Mailing Address
First Line : PO BOX 27718
Second Line :
City : PANAMA CITY
State : FL
Zip : 32411-7718
Country : US
Telephone Number : 850-740-8082
Fax Number : 850-303-0994
Provider Business Practice Location Address
First Line : 7108 QUAIL HOLLOW DR
Second Line :
City : PANAMA CITY BEACH
State : FL
Zip : 32408-4984
Country : US
Telephone Number : 850-740-8082
Fax Number : 850-303-0994
Authorized Official
Title or Position : OWNER
Name : KELLY CARTWRIGHT DAVID
Credential : LMHC
Telephone Number : 850-740-8082
Provider Enumeration Date : 05/08/2020
Last Update Date : 07/21/2025

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1851376644 — MRS. KELLY C DAVID LMHC
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1245891704 — DIXIE ALLISON, LCSW, LLC
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1912559980 — BRIDGETTE DOZIER FNP-BC
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