Healthcare Provider Details

I. General information

NPI: 1215840988
Provider Name (Legal Business Name): KELSEY STRATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5965 SIBLEY RD
CHELSEA MI
48118-1261
US

IV. Provider business mailing address

5965 SIBLEY RD
CHELSEA MI
48118-1261
US

V. Phone/Fax

Practice location:
  • Phone: 734-664-7588
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number6362009835
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: