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NPI Code Detail

MEDICARE: CLAUDINE KELLY LMHC

MEDICARE: CLAUDINE KELLY LMHC
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
1101YM0800XMental Health CounselorMH19654FL

General Provider Information

NPI Number : 1528583374
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDINE KELLY LMHC
Provider Business Mailing Address
First Line : 413 S D ST
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-4345
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 230 S DIXIE HWY
Second Line :
City : LAKE WORTH
State : FL
Zip : 33460-4154
Country : US
Telephone Number : 561-717-9930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2017
Last Update Date : 08/31/2021

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Directions to “ CLAUDINE KELLY LMHC” Practice Location

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