Healthcare Provider Details

I. General information

NPI: 1548921208
Provider Name (Legal Business Name): MARY KATHRYN RANSFORD MS, LLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2022
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

172 N PARK ST
PELLSTON MI
49769-9400
US

IV. Provider business mailing address

220 W GARFIELD AVE
CHARLEVOIX MI
49720-1631
US

V. Phone/Fax

Practice location:
  • Phone: 231-539-8421
  • Fax:
Mailing address:
  • Phone: 800-432-4121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number6451024798
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: