Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY MAINVILLE
ActiveKELLY MAINVILLE is a Professional Counselor healthcare provider located in SOUTHGATE, Michigan. NPI 1528415619 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · SOUTHGATE, MI
Registration Details
- NPI Number
- 1528415619
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2016 (10.230964599102 yrs)
- Last Updated
- May 18, 2016
- License
-
6401014254 (MI)
Practice Information
- Address
-
13305 REECK ROADSOUTHGATE, MI, 481953197Browse MI providers · Browse ZIP 48195
- Phone
- 7342252090
- Fax
- 7342252091
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in SOUTHGATE, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. SONIA C. FERNANDEZ | M.A., L.P.C. | 1558487637 |
| MRS. PATRICIA ANN DONALD | MA, LLPC | 1073633228 |
| MARIA LOUISE SEPE | MA,LPC | 1407071301 |
| MRS. YVONNE LOUISE BERRY | M.A.L.L.P.C. | 1104001486 |
| MR. JOHN PETER LEVASSEUR | MA LPC | 1790933935 |
| MRS. KATHRYN MARY THOMPSON | LPC, CADC, NCC, ACS | 1174856975 |
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.