Healthcare Provider Details

I. General information

NPI: 1326778424
Provider Name (Legal Business Name): SELINA KELLY COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 HAYWOOD RD
ASHEVILLE NC
28806-4232
US

IV. Provider business mailing address

378 HAYWOOD RD
ASHEVILLE NC
28806-4232
US

V. Phone/Fax

Practice location:
  • Phone: 828-518-6560
  • Fax:
Mailing address:
  • Phone: 828-518-6560
  • Fax: 828-829-8319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SELINA KELLY
Title or Position: OWNER
Credential: LCMHC
Phone: 828-518-6560