Kelly Collaborative Care, INC
Counselor, Professional in Dennis, MA. Organization (NPI-2).
NPI number1124349998
StatusActive
Last updated in NPPESDec 13, 2010
Details
- NPI
- 1124349998
- Entity type
- Organization (NPI-2)
- Legal business name
- Kelly Collaborative Care, INC
- Organization subpart
- No
- Enumeration date
- Jun 16, 2010
- Last updated
- Dec 13, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 197116 | MA | Yes |
Practice location
616 Route 6aDennis, MA 02638-1906
Phone 773-487-7647
Mailing address
180 Old Red Top RdBrewster, MA 02631-2370
Phone 774-487-7647
Authorized official
Mary Hettich-Kelly
Owner
7744877647
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