Provider Demographics
NPI:1942875927
Name:MALONEY-STEINER, KELSEY (MS, LPC-MHSP TEMP)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:MALONEY-STEINER
Suffix:
Gender:F
Credentials:MS, LPC-MHSP TEMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2071
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-2071
Mailing Address - Country:US
Mailing Address - Phone:423-408-8041
Mailing Address - Fax:
Practice Address - Street 1:790 APPLERIDGE DR
Practice Address - Street 2:
Practice Address - City:CENTERTON
Practice Address - State:AR
Practice Address - Zip Code:72719-8951
Practice Address - Country:US
Practice Address - Phone:918-930-9403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-23
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2304007101YM0800X
TN5138101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health