Healthcare Provider Details

I. General information

NPI: 1144116310
Provider Name (Legal Business Name): KAITLYNN E FERRIS LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 S SHORE DR STE 214
BATTLE CREEK MI
49014-5446
US

IV. Provider business mailing address

217 TERRITORIAL RD W
BATTLE CREEK MI
49015-3244
US

V. Phone/Fax

Practice location:
  • Phone: 269-964-0153
  • Fax: 855-877-5812
Mailing address:
  • Phone: 269-275-1408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451024395
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: