MEDICARE: KERI LITWILLER LPC-S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	L267712	MI
2	101YP2500X	Professional Counselor
3	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1689074544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KERI LITWILLER LPC-S

Provider Business Mailing Address
First Line	:	305 WOODHAVEN DR
Second Line	:
City	:	LANSING
State	:	MI
Zip	:	48917-3538
Country	:	US
Telephone Number	:	517-803-3125
Fax Number	:

Provider Business Practice Location Address
First Line	:	1795 CEDAR ST STE L
Second Line	:
City	:	HOLT
State	:	MI
Zip	:	48842-1865
Country	:	US
Telephone Number	:	517-803-3125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2014
Last Update Date	:	04/24/2025

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