MEDICARE: KELLIE HOLLINSHEAD LPCC

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	101YM0800X	Mental Health Counselor	C.2204019	OH

General Provider Information

NPI Number	:	1457930018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLIE HOLLINSHEAD LPCC

Provider Business Mailing Address
First Line	:	20620 JOHN CARROLL BLVD STE 214
Second Line	:
City	:	UNIVERSITY HTS
State	:	OH
Zip	:	44118-4540
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20620 JOHN CARROLL BLVD STE 214
Second Line	:
City	:	UNIVERSITY HTS
State	:	OH
Zip	:	44118-4540
Country	:	US
Telephone Number	:	216-408-7555
Fax Number	:	216-424-3239

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

Provider Enumeration Date	:	04/02/2021
Last Update Date	:	03/24/2025

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Directions to “ KELLIE HOLLINSHEAD LPCC” Practice Location

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