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

Kelly Broadwater Pickell, MA, LPA, LPC, CEDS

Individual provider Psychologist · NPI 1881786945

Kelly Broadwater Pickell, MA, LPA, LPC, CEDS is a Psychologist in Wilmington, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

3240 Burnt Mill Dr Ste 1
Wilmington, NC 28403-2576
Phone: (910) 790-9500
Fax: (910) 796-8111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 2481 (NC)

Record details

NPI number1881786945
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPA , LPC , CEDS
Sole proprietorNo
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 28, 2015

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