Kellye Allen

Individual provider Active NPI Mental Health Counselor · Fall River, MA

NPI 1811260011 · NPPES record last updated Feb 17, 2012

Key facts

NPI
1811260011
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1563 N Main St Ste 202
Fall River, MA 02720-2983
Phone
(508) 324-1060
NPI assigned
Feb 17, 2012
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1563 N Main St Ste 202
Fall River, MA 02720-2983

Mailing address

1563 N Main St Ste 202
Fall River, MA 02720-2983

Other providers in Fall River, MA

All providers in Fall River, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.