KELLY DEVONNE MYRICKS LPC NPI 1891058046

NPI Information

NPI: 1891058046
Provider Name: KELLY DEVONNE MYRICKS, LPC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
707 W MILWAUKEE ST
DETROIT, MI
ZIP 48202
Phone: (313) 344-9099
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Kelly Devonne Myricks, LPC is a counselor in Detroit, MI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Kelly Devonne Myricks, LPC NPI is 1891058046. 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:

707 W MILWAUKEE ST
DETROIT, MI
ZIP 48202-943
Phone: (313) 344-9099
Fax: (313) 893-1735

The enumeration date for this NPI number is 6/22/2012 and was last updated on 11/10/2021.

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
1	324500000X	Substance Abuse Rehabilitation Facility		820317	MICHIGAN	No
2	101Y00000X	Counselor		6401011597	MICHIGAN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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