| Doctor Name: | KELLY KATHRYN GAY |
| NPI Number: | 1831484534 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 4293 |
| Business Practice Address: | 2924 Knight St Ste. 434 Shreveport, LA - 711052415 |
| Business Phone Number: | 3186311122 |
| Business Fax Number: | 3188669622 |
| Mailing Address: | 2924 Knight St, Ste. 434 SHREVEPORT |
| State: | LA |
| Postal Code: | 711052415 |
| Phone Number: | 3186311122 |
| Fax Number: | 3188669622 |
| NPI Enumeration Date: | 06/10/2011 |
| NPI Last Update Date: | 06/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4293 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |