Healthcare Provider Details

I. General information

NPI: 1538966254
Provider Name (Legal Business Name): MOUNT PLEASANT COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 COURT ST STE B
MT PLEASANT MI
48858-2358
US

IV. Provider business mailing address

210 COURT ST STE B
MT PLEASANT MI
48858-2358
US

V. Phone/Fax

Practice location:
  • Phone: 989-359-1910
  • Fax: 989-355-0719
Mailing address:
  • Phone: 989-359-1910
  • Fax: 989-355-0719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. KYLE SAMMONS
Title or Position: SOCIAL WORKER
Credential: LLMSW
Phone: 989-359-1910