LETISHAL KELLY (NPI# 1194204990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194204990 |
| Entity Type | Individual |
| Full Name | LETISHAL KELLY |
| Practice Address |
106 York St Chester SC 29706-1484 |
| Mailing Address |
10810 Tradition View Dr Charlotte NC 28269-1421 |
| Practice Telephone | 7044930466 |
| Mailing Telephone | 7044930466 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
106 YORK ST |
| City | CHESTER |
| State | SC |
| Zip Code | 29706-1484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719889 | Jump Start Bridging Gaps LLC | Counselor | 512 Columbia St, Chester, SC 29706 | 2020-04-20 |
| 1992215560 | Community Medicine Foundation Inc | Clinic/Center | 524 Doctors Court, Catawba Community Mental Health Center, Chester, SC 29706 | 2017-10-09 |
| 1598285314 | National Scholars Academy | Community/Behavioral Health | 2183 Dawson Drive, Chester, SC 29706 | 2017-06-22 |
| 1265899371 | Resourceful Health Care | Counselor | 1645 J A Cochrane By Pass, Chester, SC 29706 | 2016-01-20 |
| 1871829861 | Goldencare, Inc | Clinic/Center | 1197 Armory Road, Chester, SC 29706 | 2009-10-26 |
| 1922158583 | Bhm of Chester LLC | Assisted Living Facility | 570 Center Street, Chester, SC 29706 | 2007-01-12 |
| 1588777395 | Chester Hma Physician Management | Family Medicine | 517 Doctors Court, Chester, SC 29706 | 2006-08-16 |
| 1710942784 | Phillip Brian Jacobs | Optometrist | 136 Church Street, Chester, SC 29706 | 2006-04-20 |
| 1528063450 | Laudan A. Adkinson | Dentist | 726 Wilson St, Chester, SC 29706 | 2005-06-16 |
| 1679814388 | Kristin Marie Gibson | Counselor | 130 Hudson St, Chester, SC 29706 | 2013-03-05 |
| Find all providers in zip 29706 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574300 | Paula Schoenau Laoch | Counselor | 16111 Gary Ave, Chester, VA 23831-7406 | 2020-09-25 |
| 1407465172 | Rikki Jessica Rosini | Counselor | 301 W.15th Street, Chester, PA 19013-2040 | 2020-07-28 |
| 1932722014 | Kimberly Lashonda Johnson | Counselor | 2018 James Overlook Dr, Chester, VA 23836-2851 | 2020-05-22 |
| 1396367298 | Rochelle Clarke | Counselor | 12511 Crystal Downs Ln, Chester, VA 23836-8601 | 2020-05-13 |
| 1831719889 | Jump Start Bridging Gaps LLC | Counselor | 512 Columbia St, Chester, SC 29706 | 2020-04-20 |
| 1831741610 | Shore Counseling, LLC | Counselor | 100 Helfen Bein Ln Ste 230a, Chester, MD 21619-2667 | 2019-07-11 |
| 1225680275 | Tiffany Benay James | Counselor | 14112 Faraday Ct, Chester, VA 23831-6594 | 2019-07-10 |
| 1396302444 | Fayeshon Davidson | Counselor | 4318 Old Hundred Rd Ste C, Chester, VA 23831-4231 | 2019-05-23 |
| 1194283762 | Alexa Brittany Vernola | Counselor | 1 Mill Ridge Ln Ste 103, Chester, NJ 07930-2490 | 2019-03-03 |
| 1013444876 | Tawanda Lyons | Counselor | 6313 Arbor Meadows Ter, Chester, VA 23831-7834 | 2017-05-11 |
| Find all providers in CHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.