Provider Demographics
NPI:1720697998
Name:HORTON, KELSEY CLIFT (LAMFT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:CLIFT
Last Name:HORTON
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9923 MOONLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35405-8461
Mailing Address - Country:US
Mailing Address - Phone:205-789-6874
Mailing Address - Fax:
Practice Address - Street 1:2910 7TH ST
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-1810
Practice Address - Country:US
Practice Address - Phone:205-737-3405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALA233106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist