Kellie Bauman, BA

Individual provider Active NPI Mental Health Counselor · Franklin, IN

NPI 1962984708 · NPPES record last updated Aug 29, 2018

Key facts

NPI
1962984708
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
86 Drake Rd
Franklin, IN 46131-2763
Phone
(317) 736-7744
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

86 Drake Rd
Franklin, IN 46131-2763

Mailing address

222 E Ohio St Ste 400
Indianapolis, IN 46204-2156
Phone (317) 882-5122

Other names

  • Kellie Kavanaugh Former name

Other providers in Franklin, IN

All providers in Franklin, IN · Mental Health Counselor in Indiana

Sources for this page

Verify at the official NPI Registry.