Individual provider · NPI-1

Kelly Allen

Counselor, Mental Health · Crestview, FL

NPI number1669221941

StatusActive

Last updated in NPPESOct 5, 2026

Details

NPI: 1669221941
Entity type: Individual (NPI-1)
Name: Kelly Allen
Sex: Female
Sole proprietor: No
Enumeration date: May 17, 2024
Certification date: Oct 5, 2026
Last updated: Oct 5, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
101YM0800X	Counselor, Mental Health	–	–	Yes
101YP2500X	Counselor, Professional	–	–
101Y00000X	Counselor	–	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–

Practice location

846 Otto Loop
Crestview, FL 32539-6771

Phone 585-737-6534

Mailing address

846 Otto Loop
Crestview, FL 32539-6771

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