National Provider Identifier

Kelly A Thompson, LICENSED MENTAL HEAL

Kelly A Thompson, LICENSED MENTAL HEAL is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Orchard Park, NY and a listed phone number of (716) 662-7337.

NPI 1114449709Orchard Park, NYMental Health Counselor

Profile Overview

NPI
1114449709
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
July 14, 2017
Last Updated
July 14, 2017

Practice Location

  • 5800 Big Tree RD
  • Orchard Park, NY 14127

Phone: (716) 662-7337

Mailing Address

  • 5800 Big Tree Road
  • Orchard Park, NY 14127

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1114449709
Entity Type
Individual
Last Name
Thompson
First Name
Kelly
Middle Name
A
Credential
LICENSED MENTAL HEAL
Mailing Street Address
5800 Big Tree Road
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127
Mailing Country
US
Mailing Phone
(716) 662-7337
Mailing Fax
(716) 662-0641
Practice Street Address
5800 Big Tree RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127
Practice Country
US
Practice Phone
(716) 662-7337
Practice Fax
(716) 662-0641
Enumeration Date
July 14, 2017
Last Updated
July 14, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)