Kellie Hollingsworth, M.A,, LMFT
Individual provider Active NPI Marriage & Family Therapist · Cody, WY
NPI 1306261102 · NPPES record last updated Apr 26, 2023
Key facts
- NPI
- 1306261102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT-202 (WY)
- Practice address
- 1701 Stampede Ave Ste 201
Cody, WY 82414-4818 - Phone
- (307) 250-8761
- NPI assigned
- Mar 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-202 | WY | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-202 | WY | Yes |
Addresses
Primary practice location
1701 Stampede Ave Ste 201
Cody, WY 82414-4818
Mailing address
2419 Ina Ave
Cody, WY 82414-9756
Phone (307) 250-8761
Other providers in Cody, WY
- Jeremy Wayne Hill
- John P Hillshafer
- Laurie Dee Hipwell
- Andrew John Hoene
- Tanner Hoffman
- Hospitalist Medicine Physicians of Wyoming - Casper, LLC
- Connor Humphrey
- Steven Edward Humphries-Wadsworth
- Industrial Medical Services LLC
- Infuse Iq LLC
All providers in Cody, WY · Marriage & Family Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2023. 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.