DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY HOLLOMAN GARDNER, LPC

Active Sole Proprietor

Mental Health Counselor · SOUTHAVEN, MS

Registration Details

NPI Number
1245420520
Provider Type
Individual
Gender
Female
NPI Issued
Aug 1, 2007 (18.722063966041 yrs)
Last Updated
Mar 4, 2013
Sole Proprietor
Yes

Practice Information

Address
7165 GETWELL RD BLDG G
SOUTHAVEN, MS, 386729619
Browse MS providers · Browse ZIP 38672
Phone
6623492818
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in SOUTHAVEN, MS

Name Credential NPI
APRIL A HOLLAND LPC 1841478849
MR. JOSHUA KERMIT HOLLINGSWORTH M.A 1689804908
DEBBIE S. HARRISON LPC, MHSP 1043541212
KELLI H. DAVIS LPC 1699083709
MRS. JAQUELINE TOLLESON CARTER LPC/MHSP 1629321815
TALUNJA ESKRIDGE LPC 1497162341
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.