Kelly Minor, LCSW

NPI 1699122721 · on the registry since 2016 · sole proprietor

Practice

Address: 11266 Lake Mandarin Cir E
Jacksonville, FL 32223
Phone: (904) 705-6130
Organisation at this address: Kam Virtual Therapeutic Services Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 1041C0700X
1041C0700X
1041C0700X
Licence states on file: FL, CT, WI, MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-05-01

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 Florida