Tim Kelly, Lcsw, Psychotherapist, PA

NPI #1457628646 in Key West, Florida

Provider Information

NPI Number
1457628646
Entity Type
Organization
Organization Name
Tim Kelly, Lcsw, Psychotherapist, PA
Primary Specialty
Community/Behavioral Health
Enumeration Date
Nov 16, 2011
Last Updated
Nov 16, 2011

Practice Location

Address
3706 N ROOSEVELT BLVD
Address 2
B
State
Florida
ZIP Code
33040-4566
Phone
(305) 294-1277

Authorized Official

Name
MR. TIMOTHY MATTHIAS KELLY, LCSW
Title
PRESIDENT
Phone
(305) 872-3187

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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