NPI 1457628646

Tim Kelly, LCSW, Psychotherapist, PA

Organisation Community/Behavioral Health Agency Key West, FL

Practice location

Address: 3706 N Roosevelt Blvd B, Key West, FL 33040-4566
Phone: (305) 294-1277
Fax: (305) 294-8927

Authorised official

Name: Timothy Matthias Kelly
Title: President
Phone: (305) 872-3187

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence SW3573 (FL)

Other Community/Behavioral Health providers in Florida →

Registry record

NPI: 1457628646
Entity type: Organization
NPI issued: 16 Nov 2011
Record last updated: 16 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.