NPIMap

Kelly D Anglin, MA, LMFT

Individual provider Active NPI Marriage & Family Therapist · Spring Hill, TN

NPI 1063798528 · NPPES record last updated Jan 4, 2025

Key facts

NPI
1063798528
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
0162711 (NM)
Practice address
303 Cadet CT
Spring Hill, TN 37174-1380
Phone
(505) 215-3629
Fax
(888) 649-1808
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0162711NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Anglin LLC Marriage & Family Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 0162711 NM Yes

Addresses

Primary practice location

303 Cadet CT
Spring Hill, TN 37174-1380

Mailing address

4106 N Dustin Ave
Farmington, NM 87401-9253
Phone (505) 215-3629

Other providers in Spring Hill, TN

All providers in Spring Hill, TN · Marriage & Family Therapist in Tennessee

Sources for this page

Verify at the official NPI Registry.