Kelly Collaborative Care, Inc
Organization Active NPI Professional Counselor · Dennis, MA
NPI 1124349998 · NPPES record last updated Dec 13, 2010
Key facts
- NPI
- 1124349998
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 197116 (MA)
- Legal business name
- KELLY COLLABORATIVE CARE, INC
- Practice address
- 616 Route 6a
Dennis, MA 02638-1906 - Phone
- (773) 487-7647
- NPI assigned
- Jun 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Mary Hettich-Kelly, FNP-BC, RNCS
- Title
- Owner
- Phone
- (774) 487-7647
Practitioners 2
-
Mary Ann Hettich-Kelly, APRN CNS PSYCH
-
Peter M Shea, EDD
National Provider Directory
Locations
616 Route 6A
Dennis, MA 02638
Phone (508) 385-2550
38 Route 134
#7
South Dennis, MA 02660
Phone (774) 487-7647
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 197116 | MA | Yes |
Addresses
Primary practice location
616 Route 6a
Dennis, MA 02638-1906
Mailing address
180 Old Red Top Rd
Brewster, MA 02631-2370
Phone (774) 487-7647
Other providers in Dennis, MA
- Frank a Dahlstrom,DMD,PC.
- Jessica Lynn Grindell
- Harris Dental Associates Hda PC
- Harris Dental Dennis (HDD), L.L.C.
- Chien-Ching Juan
- Nataliya Kiefer
- Lewis Bernard Klebanoff
- Emma Lanza
- Gregory William Monfette
- Andrea Najemy
All providers in Dennis, MA · Professional Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.