Healthcare Provider Details

I. General information

NPI: 1972387355
Provider Name (Legal Business Name): KAYE LAFOND LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 SANBORN AVE STE B
BIG RAPIDS MI
49307-1769
US

IV. Provider business mailing address

110 SANBORN AVE STE B
BIG RAPIDS MI
49307-1769
US

V. Phone/Fax

Practice location:
  • Phone: 231-580-8482
  • Fax: 888-509-1505
Mailing address:
  • Phone: 231-580-8482
  • Fax: 888-509-1505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851117162
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: