Erin Kelley, M.ED.
Individual provider Active NPI Mental Health Counselor · Melbourne Beach, FL
NPI 1235543216 · NPPES record last updated Jun 17, 2014
Key facts
- NPI
- 1235543216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH11330 (FL)
- Practice address
- 107 La Costa St
#404
Melbourne Beach, FL 32951-3420 - Phone
- (904) 322-0084
- NPI assigned
- Jun 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH11330 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Counseling Center, LLC | Mental Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH11330 | FL | Yes |
Addresses
Primary practice location
107 La Costa St
#404
Melbourne Beach, FL 32951-3420
Mailing address
107 La Costa St
#404
Melbourne Beach, FL 32951-3420
Phone (904) 322-0084
Other providers in Melbourne Beach, FL
- Katie Elizabeth Hockin
- Caroline Holley
- HR Aspirin, Inc.
- Mary Isitt
- Terra Ann Jones
- Meghan N Killingsworth
- Lila A. Klausman
- Dawn Renee Kuehl
- Sandra Loeb Gogan
- Jason P Manchester
All providers in Melbourne Beach, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2014. 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.