Kelly Ann Waller is a Massapequa, New York based counselor who is specialized as Mental Health Counselor. Active license number of Kelly Ann Waller is 011709 for Mental Health Counselor in New York. Her current practice location is 54 Chicago Ave, Massapequa. Patients can book an appointment with her at 516-804-0448.
Kelly Ann Waller is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Kelly Ann Waller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Kelly Ann Waller
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
LMHC
Accepts Medicare Assignment:
No
Practice Address:
54 Chicago Ave, Massapequa, New York, 11758-4422
Phone:
516-804-0448
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1972269652
NPI Enumeration Date:
16 Nov, 2021
NPI Last Update On:
16 Nov, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Ann Waller are as mentioned below.
License Number
Specialization
State
Status
011709
Mental Health Counselor
New York
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
304 N Utica Ave, Massapequa, New York
Zip:
11758-2148
Phone Number:
516-477-3203
Patients can reach Kelly Ann Waller at 54 Chicago Ave, Massapequa, New York or can call to book an appointment on 516-804-0448. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.