Provider Demographics
NPI:1235431461
Name:KELLY, HAROLD H (LMFT, LCDC)
Entity Type:Individual
Prefix:MR
First Name:HAROLD
Middle Name:H
Last Name:KELLY
Suffix:
Gender:M
Credentials:LMFT, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 PLANTATION WOOD LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4326
Mailing Address - Country:US
Mailing Address - Phone:956-491-2237
Mailing Address - Fax:956-661-1816
Practice Address - Street 1:2711 PLANTATION WOOD LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4326
Practice Address - Country:US
Practice Address - Phone:956-661-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2416106H00000X
TX2037101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)