MEDICARE: J KELLY, LLC

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
1	251S00000X	Community/Behavioral Health Agency	01330000363	VA

General Provider Information

NPI Number	:	1427403534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J KELLY, LLC

Provider Business Mailing Address
First Line	:	810 HOUSMAN CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7010
Country	:	US
Telephone Number	:	757-450-3421
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 HOUSMAN CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7010
Country	:	US
Telephone Number	:	757-450-3421
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIOR ANALYST
Name	:	JESSICA SALOME KELLY
Credential	:	MS, BCBA
Telephone Number	:	757-450-3421

Provider Enumeration Date	:	04/26/2016
Last Update Date	:	04/26/2016

Similar Medicare Providers

1114432739 — SERENITY NOW HEALTHCARE OF MS LLC
Practice Location Address:

5011 VIRGINIA ST
BAY ST LOUIS, MS
39520-7010

Practice Phone: 888-371-1924
Practice Fax: 888-371-1924

1689872392 — MS. SHAWNA KAY STEWART
Practice Location Address:

400 N BEACH ST
FORT WORTH, TX
76111-7010

Practice Phone: 817-335-1994
Practice Fax: 817-916-4665

1447574025 — MS. BETTY JOYCE PETERSON LCSW
Practice Location Address:

400 N BEACH ST
FORT WORTH, TX
76111-7010

Practice Phone: 817-916-5204
Practice Fax: 817-916-4665

1104190115 — AIDS HEALTHCARE FOUNDATION TEXAS INC
Practice Location Address:

400 N BEACH ST , SUITE 104
FORT WORTH, TX
76111-7010

Practice Phone: 817-831-1750
Practice Fax: 817-831-1753

1023366390 — PAMELA J. SMITH M.S., SLP
Practice Location Address:

2336 PELICAN BAY CT
PANAMA CITY BEACH, FL
32408-7010

Practice Phone: 850-625-2931
Practice Fax:

1861953259 — LIYA WANG
Practice Location Address:

1652 2ND ST
MANHATTAN BEACH, CA
90266-7010

Practice Phone: 626-840-1626
Practice Fax:

Directions to “J KELLY, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.