Provider Demographics
NPI:1134298136
Name:TORI KELLEY
Entity Type:Organization
Organization Name:TORI KELLEY
Other - Org Name:CENTRAL FLORIDA MENTAL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TORI
Authorized Official - Middle Name:T
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-536-2364
Mailing Address - Street 1:655 W HIGHWAY 50
Mailing Address - Street 2:STE. 102
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-2982
Mailing Address - Country:US
Mailing Address - Phone:352-536-2364
Mailing Address - Fax:352-536-2370
Practice Address - Street 1:655 W HIGHWAY 50
Practice Address - Street 2:STE. 102
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-2982
Practice Address - Country:US
Practice Address - Phone:352-536-2364
Practice Address - Fax:352-536-2370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH7472101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty