Provider Demographics
NPI:1295616639
Name:REEVES, KELSI WYNN (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:KELSI
Middle Name:WYNN
Last Name:REEVES
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 TECOMA CIR APT 13102
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-1873
Mailing Address - Country:US
Mailing Address - Phone:512-469-0535
Mailing Address - Fax:512-387-3515
Practice Address - Street 1:4407 BEE CAVES RD STE 422
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6406
Practice Address - Country:US
Practice Address - Phone:512-469-0535
Practice Address - Fax:512-387-3515
Is Sole Proprietor?:No
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95591101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional