Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SHORES, MA, LMFT, LAC
Active Sole ProprietorKELLY SHORES, MA, LMFT, LAC is a Marriage & Family Therapist healthcare provider located in FORTVILLE, Indiana. NPI 1457819138 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · FORTVILLE, IN
Registration Details
- NPI Number
- 1457819138
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 12, 2019 (7.4392368121697 yrs)
- Last Updated
- Mar 12, 2019
- License
-
35001781A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 W BROADWAY STFORTVILLE, IN, 460401462Browse IN providers · Browse ZIP 46040
- Phone
- 3177107772
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in FORTVILLE, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. REESA SMITH | LMFT | 1013409994 |
| KELLIE SAHM WIGNALL | — | 1326784521 |
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.