Healthcare Provider Details

I. General information

NPI: 1326155151
Provider Name (Legal Business Name): DENNIS K. CHITWOOD LPC, LLP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 S CARMEL ST
CADILLAC MI
49601-2344
US

IV. Provider business mailing address

805 S CARMEL ST
CADILLAC MI
49601-2344
US

V. Phone/Fax

Practice location:
  • Phone: 231-775-6517
  • Fax: 231-775-6587
Mailing address:
  • Phone: 231-775-6517
  • Fax: 231-775-6587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6401004741
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number6301009040
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: