Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelli Mayall, LPC

Individual provider Mental Health Counselor · NPI 1952894545

Kelli Mayall, LPC is a Mental Health Counselor in Texarkana, Arkansas. Qualified in 2017, 9 years ago. Practices with Moonbrook Mind and Body Integrative Services Incorporated, a 2-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
9
Licensed in
AR
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4613 Parkway Dr Ste 7
Texarkana, AR 71854-1191
Phone: (870) 330-4095
Fax: (844) 706-5741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence A1711325 (AR)

Record details

NPI number1952894545
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 8, 2018
Last updated in NPPESMay 10, 2024
Certification dateMarch 5, 2024
Mailing address2726 Highway 19 N, Prescott, AR 71857-7510

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Moonbrook Mind And Body Integrative Services Incorporated — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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