THE KELLY CODE, LLC (NPI# 1922577022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922577022 |
| Entity Type | Organization |
| Organization Name | THE KELLY CODE, LLC |
| Practice Address |
3219 Landmark St Ste B Greenville NC 27834-7688 |
| Mailing Address |
205 Westwood Dr Greenville NC 27834-5015 |
| Practice Telephone | 2524121963 |
| Mailing Telephone | 2524121963 |
| Mailing Fax Number | 2523642248 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| Authorized Official Name | MRS. KIM J KELLY (OWNER) |
| Authorized Official Telephone | 2524121963 |
| Authorized Official Credential | LCAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1730457193 | 05 |
| Other Name | Type Code |
|---|---|
| The Kelly Code | Doing Business As Name - Organization |
| Street Address |
3219 LANDMARK ST STE B |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-7688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039764 | Kenneth Scott Pritchard | Counselor | 1853 Ida and Mary Mclawhorn Rd, Greenville, NC 27858-9158 | 2020-09-28 |
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1104448711 | Horsemanship Connection, LLC | Counselor | 3219 Landmark St Ste 9b, Greenville, NC 27834-7688 | 2020-05-18 |
| 1457972523 | Ivan Ronnie Quan | Counselor | 221 Adley Way, Greenville, SC 29607-6511 | 2020-04-30 |
| 1508409103 | Shamesa N'cole Teel | Counselor | 1721 Crest Cir, Greenville, NC 27834-4735 | 2019-10-26 |
| 1174170898 | Sholonda James Brown | Counselor | 2211 Hyde Dr Apt E, Greenville, NC 27858-8845 | 2019-08-19 |
| 1639721277 | Stepping Stones Therapeutic Services for Children and Adults, Pllc | Counselor | 3105 Evans St Ste E, Greenville, NC 27834-6899 | 2019-07-14 |
| 1194287607 | Strickland Consulting & Counseling | Counselor | 2220 Chavis Dr # B, Greenville, NC 27858-8189 | 2019-04-03 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1831655893 | Steven Mcdowell | Counselor | 155 Brozzini Ct Ste A-d, Greenville, SC 29615-5340 | 2019-02-14 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on THE KELLY CODE, LLC.
| 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.