| Organization Name: | TORI KELLEY |
| NPI Number: | 1134298136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TORI T. KELLEY (OWNER, THERAPIST) |
| Mailing Address: | 655 W Highway 50 Ste. 102 Clermont |
| State: | FL US |
| Postal Code: | 347112982 |
| Phone Number: | 3525362364 |
| Fax Number: | 3525362370 |
| NPI Enumeration Date: | 11/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH7472 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |