Search › Georgia › 103K00000X
Breanna Kelly, LCSW
NPI 1871047720 · on the registry since 2016
Practice
- Address
- Po Box 371091
Decatur, GA 30037 - Phone
- (813) 361-0596
Additional practice sites
- 2319 Wingfoot Pl, Decatur, GA
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 104100000X
1041C0700X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-06-02
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 Georgia