Healthcare Provider Details

I. General information

NPI: 1649765298
Provider Name (Legal Business Name): KELSEA A HOWELL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2018
Last Update Date: 08/21/2024
Certification Date: 08/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 E MICHIGAN AVE STE 440
KALAMAZOO MI
49007-6400
US

IV. Provider business mailing address

229 E MICHIGAN AVE STE 440
KALAMAZOO MI
49007-6400
US

V. Phone/Fax

Practice location:
  • Phone: 269-254-6613
  • Fax: 269-443-2166
Mailing address:
  • Phone: 269-254-6613
  • Fax: 269-443-2166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: KELSEA ANNE HOWELL
Title or Position: OWNER, PROVIDER
Credential: MA, LPC
Phone: 269-254-6613