Individual provider · Type 1 NPI

Kealie Kelley, LAC

Counselor · Russellville, AR

NPI number 1306642186 Active

Practice location

1310 W Main St Ste 100
Russellville, AR 72801-2803

Call (479) 964-2011 Map

Mailing address

1310 W Main St Ste 201
Russellville, AR 72801-2803

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XA2502019 (AR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1306642186

Kealie Kelley, LAC's National Provider Identifier is 1306642186, issued on Feb 21, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Russellville, AR. The record was last updated on Feb 21, 2025.