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NPI Code Detail

MEDICARE: KELLY ANN PHELPS LCMHCS

MEDICARE: KELLY ANN PHELPS LCMHCS
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
1101YM0800XMental Health CounselorS7586NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2168CYOTHERNCBCBS

General Provider Information

NPI Number : 1356678130
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ANN PHELPS LCMHCS
Provider Business Mailing Address
First Line : 1650 LOWER STECOAH RD
Second Line :
City : ROBBINSVILLE
State : NC
Zip : 28771-9209
Country : US
Telephone Number : 828-545-3945
Fax Number : 833-419-0181
Provider Business Practice Location Address
First Line : 110 N CORCORAN ST
Second Line :
City : DURHAM
State : NC
Zip : 27701-5015
Country : US
Telephone Number : 323-205-7088
Fax Number : 833-419-0181
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2009
Last Update Date : 03/07/2025

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Directions to “ KELLY ANN PHELPS LCMHCS” Practice Location

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