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NPI Code Detail

MEDICARE: TONY KELLY LPC

MEDICARE: TONY KELLY LPC
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 Counselor61160TX
2101YP2500XProfessional Counselor61160TX

General Provider Information

NPI Number : 1851539480
Entity Type Code : Individual
Provider Name (Legal Business Name) : TONY KELLY LPC
Provider Business Mailing Address
First Line : 4352 EMMETT F LOWRY EXPY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-2628
Country : US
Telephone Number : 281-585-7300
Fax Number :
Provider Business Practice Location Address
First Line : 4352 EMMETT F LOWRY EXPY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77591-2628
Country : US
Telephone Number : 281-585-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2009
Last Update Date : 06/03/2026

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