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

Individual provider Marriage & Family Therapist · NPI 1821653676

Kelly Buxton Wise, MALMFT, PLPC is a Marriage & Family Therapist in Monroe, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

300 Washington St Ste 310A
Monroe, LA 71201-6761
Phone: (318) 372-1810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X · Licence MFT1403 (LA)

Record details

NPI number1821653676
Entity typeIndividual (Type 1)
GenderFemale
Credentials MALMFT , PLPC
Sole proprietorYes
NPI enumeratedMay 7, 2019
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026

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