KELLY M MICHAUD LPC NPI 1447588363

NPI Information

NPI: 1447588363
Provider Name: KELLY M MICHAUD, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
128 FRANCES MEEKS WAY STE 16
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 508-1223
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Kelly M Michaud, LPC is a professional counselor in Richmond Hill, GA. Kelly M Michaud, LPC NPI is 1447588363. 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:

128 FRANCES MEEKS WAY STE 16
RICHMOND HILL, GA
ZIP 31324-985
Phone: (912) 508-1223
Fax: (912) 257-4413

The enumeration date for this NPI number is 12/4/2009 and was last updated on 7/21/2022.

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	101YP2500X	Counselor	Professional	LPC007469	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12610067	OTHER	GEORGIA	CAQH
2	003141299A	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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