Provider Demographics
NPI:1467788570
Name:NAY, KELLEY ANN (LMFHC)
Entity Type:Individual
Prefix:MS
First Name:KELLEY
Middle Name:ANN
Last Name:NAY
Suffix:
Gender:F
Credentials:LMFHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 247TH PL NE
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-3484
Mailing Address - Country:US
Mailing Address - Phone:425-736-1858
Mailing Address - Fax:425-748-9954
Practice Address - Street 1:239 247TH PL NE
Practice Address - Street 2:
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98074-3484
Practice Address - Country:US
Practice Address - Phone:425-736-1858
Practice Address - Fax:425-748-9954
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60203337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health