Healthcare Provider Details

I. General information

NPI: 1235272147
Provider Name (Legal Business Name): JAMES LYNN KOLBE LPC, LLP, FLE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2007
Last Update Date: 11/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 E COLBY ST SUITE 1
WHITEHALL MI
49461-1104
US

IV. Provider business mailing address

2590 BENSTON RD
WHITEHALL MI
49461-9523
US

V. Phone/Fax

Practice location:
  • Phone: 231-893-8336
  • Fax: 231-981-5277
Mailing address:
  • Phone: 231-893-8336
  • Fax: 231-893-8336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberL905346
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberL705120
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: