Healthcare Provider Details

I. General information

NPI: 1821915802
Provider Name (Legal Business Name): KRYSTYN MESSERSMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 W BROADWAY ST
MOUNT PLEASANT MI
48858-2444
US

IV. Provider business mailing address

411 W BROADWAY ST
MOUNT PLEASANT MI
48858-2444
US

V. Phone/Fax

Practice location:
  • Phone: 989-779-8999
  • Fax: 989-419-5953
Mailing address:
  • Phone: 989-779-8999
  • Fax: 989-419-5953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6451024070
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: