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

Mrs. Laura Ann Kellicut, MA

Individual provider Case Manager/Care Coordinator · NPI 1922181601

Mrs. Laura Ann Kellicut, MA is a Case Manager/Care Coordinator in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.

Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

109 W Watauga Ave
Johnson City, TN 37604-5621
Phone: (423) 232-2600
Fax: (423) 467-3644
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC2799 (TN)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1922181601
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESMarch 6, 2012

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