Provider Demographics
NPI:1467020487
Name:ALBEY, KELLYE MARIA (LPC)
Entity Type:Individual
Prefix:
First Name:KELLYE
Middle Name:MARIA
Last Name:ALBEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 KAYCE LN
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72019-0912
Mailing Address - Country:US
Mailing Address - Phone:501-317-5898
Mailing Address - Fax:
Practice Address - Street 1:211 S MARKET
Practice Address - Street 2:
Practice Address - City:BENTON
Practice Address - State:AR
Practice Address - Zip Code:72015-4303
Practice Address - Country:US
Practice Address - Phone:501-315-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1809117101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health