Healthcare Provider Details

I. General information

NPI: 1538668355
Provider Name (Legal Business Name): KELSI HOMAN LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KELSI MCCLAFLIN LPC

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 CENTER AVE W STE B
DILWORTH MN
56529-1346
US

IV. Provider business mailing address

1675 CENTER AVE W
DILWORTH MN
56529-1346
US

V. Phone/Fax

Practice location:
  • Phone: 218-620-5239
  • Fax: 218-440-6944
Mailing address:
  • Phone: 218-620-5239
  • Fax: 218-440-6944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3392
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: