SearchNorth Carolina101YM0800X

Blake Kellum, LCMHC

NPI 1215699483 · on the registry since 2021 · sole proprietor

Practice

Address
2015 Ayrsley Town Blvd Ste 302-A
Charlotte, NC 28273
Phone
(704) 350-5324
Fax
(980) 458-6037
Organisation at this address
Stride
All In Mind
Nlrnc-Abc, Llc
Halo Home Care Llc
Lakeside Aba Nc Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
22

Additional practice sites

  • 919 N Main St, Mooresville, NC

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina