=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730011792
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KELI SCHROEFFEL BALLARD LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2026
-----------------------------------------------------
Last Update Date | 06/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 135 TECHNOLOGY DR STE 204
-----------------------------------------------------
City | CANONSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15317-9549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-238-7675
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 135 TECHNOLOGY DR STE 204
-----------------------------------------------------
City | CANONSBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15317-9549
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-238-7675
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | THERAPIST
-----------------------------------------------------
Name | MS. KELI SCHROEFFEL BALLARD
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 412-238-7675
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------