Provider Demographics
NPI:1588552814
Name:KELSEY KAY INC
Entity type:Organization
Organization Name:KELSEY KAY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAT
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:815-545-3572
Mailing Address - Street 1:1938 E LINCOLN HWY STE 207B
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-3810
Mailing Address - Country:US
Mailing Address - Phone:815-314-4402
Mailing Address - Fax:815-277-1277
Practice Address - Street 1:1938 E LINCOLN HWY STE 207B
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-3810
Practice Address - Country:US
Practice Address - Phone:815-314-4402
Practice Address - Fax:815-277-1277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty