Healthcare Provider Details

I. General information

NPI: 1912839101
Provider Name (Legal Business Name): CARLY ANN APPLEBEY MA, LLMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARLY ANN JACOBS

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 PARKVIEW AVE STE 1
KALAMAZOO MI
49008-4806
US

IV. Provider business mailing address

1901 PARKVIEW AVE STE 1
KALAMAZOO MI
49008-4806
US

V. Phone/Fax

Practice location:
  • Phone: 517-936-4393
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number4151001225
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: