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General NPI Number Information
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NPI Number | 1306737325
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Entity Type | Individual
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Provider Name | ALEXIS SIERRA LYNN KELLY MS, LPC/MHSP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 8295 TOURNAMENT DR STE 201
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City | MEMPHIS
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State | TN
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Zip | 38125-8913
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Country | US
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Telephone | 888-374-5066
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Fax | 719-623-0165
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Provider Business Mailing Address
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Address Line | 815 PECAN GARDENS CIR E
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City | MEMPHIS
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State | TN
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Zip | 38122-2519
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Country | US
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Telephone | 423-534-9565
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 7687
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License Number State | TN
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