Individual provider · Type 1 NPI

Stephanie Ann Kelly, PC, LMHC, LPC, CMHC

Mental Health Counselor · Brandon, FL

NPI number 1619508017 Active

Practice location

710 Oakfield Dr Ste 221
Brandon, FL 33511-4924

Call (813) 563-9553 Map

Fax (813) 939-9553

Mailing address

126 Bessemer Cir
Brandon, FL 33511-7953

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X14139176-6004 (UT)
Mental Health Counselor 101YM0800X39005679A (IN)
Mental Health Counselor 101YM0800X2637 (NH)
Mental Health Counselor 101YM0800X068.0136813 (VT)
Professional Counselor 101YP2500XLCPC-10005 (ID)
Professional Counselor 101YP2500XPC019523 (PA)
Mental Health Counselor Primary 101YM0800XMH17627 (FL)
Professional Counselor 101YP2500X7692 (CT)
Professional Counselor 101YP2500X6401225670 (MI)
Professional Counselor 101YP2500XCTB-2023-0889 (NM)
Professional Counselor 101YP2500XE.2505717 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1619508017

Stephanie Ann Kelly, PC, LMHC, LPC, CMHC's National Provider Identifier is 1619508017, issued on Feb 4, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brandon, FL. The record was last updated on Oct 9, 2026.