Provider Demographics
NPI:1659597177
Name:MAGEE, KELLYE MCLAUGHLIN (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:KELLYE
Middle Name:MCLAUGHLIN
Last Name:MAGEE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 N. CENTRAL EXPWY.
Mailing Address - Street 2:SUITE 172
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231
Mailing Address - Country:US
Mailing Address - Phone:214-520-7007
Mailing Address - Fax:214-361-1929
Practice Address - Street 1:10300 NORTH CENTRAL EXPRESSWAY
Practice Address - Street 2:SUITE 172
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231
Practice Address - Country:US
Practice Address - Phone:214-520-7007
Practice Address - Fax:214-361-1929
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14171101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health