Provider Information for 1992061204
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
Mrs. FELICE JOY KELLEY MA, LPC, NCC, ACS
Sex: Female
NPI: 1992061204
Last Updated: 2021-08-02
Certification Date: 2021-08-02
Certification Date: 2021-08-02
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1992061204 | ||||||||||||
| Enumeration Date | 2012-04-11 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 803 MANISTEE, MI 49660-0803 United States Phone: 231-830-4718 | Fax: | ||||||||||||
| Primary Practice Address | 392 4TH ST MANISTEE, MI 49660-2930 United States Phone: 231-830-4718 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|