Provider Demographics
NPI:1265770242
Name:WILKINS-HALL, KELLEE (LCSW)
Entity type:Individual
Prefix:
First Name:KELLEE
Middle Name:
Last Name:WILKINS-HALL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7127 QUAIL WILDE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-6507
Mailing Address - Country:US
Mailing Address - Phone:937-418-7234
Mailing Address - Fax:
Practice Address - Street 1:7127 QUAIL WILDE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-6507
Practice Address - Country:US
Practice Address - Phone:937-418-7234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-25
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX603191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical