Provider Demographics
NPI:1770625709
Name:BELLIS, KELLY KATHLEEN (LPC-MHSP)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:KATHLEEN
Last Name:BELLIS
Suffix:
Gender:F
Credentials:LPC-MHSP
Other - Prefix:MISS
Other - First Name:KELLY
Other - Middle Name:KATHLEEN
Other - Last Name:ALLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-MHSP
Mailing Address - Street 1:1308 SWEETSPIRE DR
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-6472
Mailing Address - Country:US
Mailing Address - Phone:615-310-8648
Mailing Address - Fax:
Practice Address - Street 1:3310 PERIMETER HILL DRIVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4123
Practice Address - Country:US
Practice Address - Phone:615-250-7325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health