MEDICARE: MRS. ALEXIS SIERRA LYNN KELLY MS, LPC/MHSP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	7687	TN

General Provider Information

NPI Number	:	1306737325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALEXIS SIERRA LYNN KELLY MS, LPC/MHSP

Provider Business Mailing Address
First Line	:	815 PECAN GARDENS CIR E
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38122-2519
Country	:	US
Telephone Number	:	423-534-9565
Fax Number	:

Provider Business Practice Location Address
First Line	:	8295 TOURNAMENT DR STE 201
Second Line	:
City	:	MEMPHIS
State	:	TN
Zip	:	38125-8913
Country	:	US
Telephone Number	:	888-374-5066
Fax Number	:	719-623-0165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2025
Last Update Date	:	07/18/2025

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