MARCY KELLY NPI 1164303640

NPI Information

  • NPI: 1164303640
  • Provider Name: MARCY KELLY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 3537 W FRONT ST STE F
    TRAVERSE CITY, MI
    ZIP 49684
  • Phone: (231) 935-8900

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NPI Details

Marcy Kelly is a mental health counselor in Traverse City, MI. Marcy Kelly NPI is 1164303640. The provider is registered as an individual entity type.

The provider's business location address is:

3537 W FRONT ST STE F
TRAVERSE CITY, MI
ZIP 49684-943
Phone: (231) 935-8900

The enumeration date for this NPI number is 9/10/2025 and was last updated on 9/10/2025.

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
1101YM0800XCounselorMental Health6451024348MICHIGANYes

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: 11/21/2025

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