MRS. MARCELLA LYDIA BACCHUS MALPCCAAC NPI 1154581460

NPI Information

  • NPI: 1154581460
  • Provider Name: MRS. MARCELLA LYDIA BACCHUS, MA,LPC,CAAC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 157 S KALAMAZOO MALL
    SUITE 250
    KALAMAZOO, MI
    ZIP 49007
  • Phone: (269) 383-1440

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NPI Details

MRS. Marcella Lydia Bacchus, MA,LPC,CAAC is a professional counselor in Kalamazoo, MI. MRS. Marcella Lydia Bacchus, MA,LPC,CAAC NPI is 1154581460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

157 S KALAMAZOO MALL
SUITE 250
KALAMAZOO, MI
ZIP 49007-877
Phone: (269) 383-1440
Fax: (269) 383-9781

The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional6401010069MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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