Provider Demographics
NPI:1841182524
Name:SLAUGH, KELSIE RAE (LGPC)
Entity type:Individual
Prefix:MS
First Name:KELSIE
Middle Name:RAE
Last Name:SLAUGH
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3233 CAVES RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4001
Mailing Address - Country:US
Mailing Address - Phone:801-450-9493
Mailing Address - Fax:
Practice Address - Street 1:516 N CHARLES ST STE 408
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5044
Practice Address - Country:US
Practice Address - Phone:443-216-9306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP15100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health