Provider Demographics
NPI:1053782284
Name:HALEMEYER, KELSEY J (LMHC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:J
Last Name:HALEMEYER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:J
Other - Last Name:FUHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:417 1ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IA
Mailing Address - Zip Code:52314-1611
Mailing Address - Country:US
Mailing Address - Phone:319-573-8249
Mailing Address - Fax:
Practice Address - Street 1:417 1ST AVE SE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IA
Practice Address - Zip Code:52314-1611
Practice Address - Country:US
Practice Address - Phone:319-573-8249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA001668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health