Provider Demographics
NPI:1346459732
Name:KELL, LYNN (LCSW, ACADC)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:KELL
Suffix:
Gender:F
Credentials:LCSW, ACADC
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:
Other - Last Name:KELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5 VIRGINIA LN
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72207-5140
Mailing Address - Country:US
Mailing Address - Phone:501-661-0774
Mailing Address - Fax:
Practice Address - Street 1:225 S PULASKI ST
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72201-1925
Practice Address - Country:US
Practice Address - Phone:501-372-2970
Practice Address - Fax:888-468-9318
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2009-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARUNKNOWN101YA0400X
AR1099-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)