Healthcare Provider Details

I. General information

NPI: 1881517894
Provider Name (Legal Business Name): KELSEY BYRD MS, ALC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 ADRIS PL STE B
DOTHAN AL
36303-1997
US

IV. Provider business mailing address

700 DEMPSTER DR
SYLACAUGA AL
35151-6109
US

V. Phone/Fax

Practice location:
  • Phone: 334-625-7626
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberALC05153
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: