Healthcare Provider Details

I. General information

NPI: 1518887132
Provider Name (Legal Business Name): KELBY THERAPY SERVICES P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 PIKE HILL RD
HEBRON NH
03241-7537
US

IV. Provider business mailing address

103 PIKE HILL RD
HEBRON NH
03241-7537
US

V. Phone/Fax

Practice location:
  • Phone: 607-643-5245
  • Fax:
Mailing address:
  • Phone: 607-643-5245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: EMERSON KELBY
Title or Position: CEO
Credential: LICSW
Phone: 607-643-5245