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

Kelly Marie Runk, LCDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215504584

Kelly Marie Runk, LCDC is an Addiction (Substance Use Disorder) Counselor in Longview, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

950 N 4th St
Longview, TX 75601-5436
Phone: (903) 758-2471
Fax: (903) 234-1639
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 14164 (TX)

Record details

NPI number1215504584
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDC
Sole proprietorYes
NPI enumeratedJune 7, 2021
Last updated in NPPESJune 7, 2021
Certification dateJune 7, 2021

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