MEDICARE: KELI SCHROEFFEL BALLARD LLC

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

General Provider Information

NPI Number	:	1730011792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KELI SCHROEFFEL BALLARD LLC

Provider Business Mailing Address
First Line	:	135 TECHNOLOGY DR STE 204
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-9549
Country	:	US
Telephone Number	:	412-238-7675
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 TECHNOLOGY DR STE 204
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-9549
Country	:	US
Telephone Number	:	412-238-7675
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. KELI SCHROEFFEL BALLARD
Credential	:	LPC
Telephone Number	:	412-238-7675

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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