Individual provider · Type 1 NPI

Kelly Janese Ballantine, LMHC

Mental Health Counselor · Lakeland, FL

NPI number 1649576596 Active

Practice location

1835 Gilmore Ave
Lakeland, FL 33805-3017

Call (863) 519-0575 Map

Fax (863) 582-9251

Mailing address

PO Box 1559
Bartow, FL 33831-1559

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH8819 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1649576596

Kelly Janese Ballantine, LMHC's National Provider Identifier is 1649576596, issued on Feb 9, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakeland, FL. The record was last updated on Jun 22, 2015.