Healthcare Provider Details

I. General information

NPI: 1518645050
Provider Name (Legal Business Name): CARABELLI COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E BROADWAY ST STE F
MT PLEASANT MI
48858-2572
US

IV. Provider business mailing address

11733 E FLECK RD
RIVERDALE MI
48877-9513
US

V. Phone/Fax

Practice location:
  • Phone: 989-318-3346
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KRYSTA CARABELLI
Title or Position: GRIEF COUNSELOR - OWNER
Credential:
Phone: 810-304-1623