Healthcare Provider Details

I. General information

NPI: 1427297761
Provider Name (Legal Business Name): KELLI DAWN HOOD LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

989 GOVERNORS LN STE 220
LEXINGTON KY
40513-1175
US

IV. Provider business mailing address

1450 MAC BRAE LN
SHELBYVILLE KY
40065-8829
US

V. Phone/Fax

Practice location:
  • Phone: 502-513-4439
  • Fax:
Mailing address:
  • Phone: 314-540-3042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number165650
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: