Provider Demographics
NPI:1013749423
Name:SINGLEMAN, KELLY ANN (NCC, LPC, LMHC)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ANN
Last Name:SINGLEMAN
Suffix:
Gender:F
Credentials:NCC, LPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8403 LEONA AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PORT
Mailing Address - State:FL
Mailing Address - Zip Code:34291-7074
Mailing Address - Country:US
Mailing Address - Phone:570-396-9245
Mailing Address - Fax:
Practice Address - Street 1:8403 LEONA AVE
Practice Address - Street 2:
Practice Address - City:NORTH PORT
Practice Address - State:FL
Practice Address - Zip Code:34291-7074
Practice Address - Country:US
Practice Address - Phone:570-396-9245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH18380101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health