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NPI Code Detail

MEDICARE: KELSEY RENEE BATES M.A. LMHC, LPC, LCPC

MEDICARE: KELSEY RENEE BATES M.A. LMHC, LPC, LCPC
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
1101YP2500XProfessional CounselorLC11257MD
2101YP2500XProfessional CounselorPRC15475DC
3101YP2500XProfessional Counselor011904GA
4101YP2500XProfessional Counselor0701010492VA
5101YM0800XMental Health Counselor010694NY

General Provider Information

NPI Number : 1861096620
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY RENEE BATES M.A. LMHC, LPC, LCPC
Provider Business Mailing Address
First Line : 928 BROADWAY STE 803
Second Line :
City : NEW YORK
State : NY
Zip : 10010-8125
Country : US
Telephone Number : 202-902-7975
Fax Number :
Provider Business Practice Location Address
First Line : 928 BROADWAY STE 803
Second Line :
City : NEW YORK
State : NY
Zip : 10010-8125
Country : US
Telephone Number : 202-902-7975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2020
Last Update Date : 04/28/2025

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