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

Mrs. Kim J Kelly, LCAS

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1730457193

Mrs. Kim J Kelly, LCAS is an Addiction (Substance Use Disorder) Counselor in Selma, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
Specialties on file
3

Practice location Address checks out

200 S Pollock St
Selma, NC 27576-3062
Phone: (919) 965-6770
Fax: (919) 965-0196
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 2526 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2526 (NC)
Counselor Taxonomy 101Y00000X · Licence 2526 (NC)

Record details

NPI number1730457193
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAS
Sole proprietorYes
NPI enumeratedDecember 13, 2011
Last updated in NPPESFebruary 25, 2016

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