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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KELLY PINNEY ELLIS, MA, LPC, BCPC

Active Sole Proprietor

MRS. KELLY PINNEY ELLIS, MA, LPC, BCPC is a Professional Counselor healthcare provider located in SOUTH HAVEN, Michigan. NPI 1417189929 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · SOUTH HAVEN, MI

Registration Details

NPI Number
1417189929
Provider Type
Individual
Gender
Female
NPI Issued
Aug 17, 2009 (16.959154071708 yrs)
Last Updated
Jul 7, 2015
License
6401011487 (MI)
Sole Proprietor
Yes

Practice Information

Address
404 BROADWAY ST
SUITE B
SOUTH HAVEN, MI, 490901421
Browse MI providers · Browse ZIP 49090
Phone
2692141234
Fax
2698723625
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in SOUTH HAVEN, MI

Name Credential NPI
MS. ANNE MARIE JAEGER-HEIDEN M.A., LPC 1871791400
AMY HAAS LLPC 1801134747
WENDY DYKSTRA 1962846014
MS. REBECCA A. BENNETT LLPC 1730514910
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.