DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. KRYSANDRA LYNN PHELAN LMSW

MEDICARE: MRS. KRYSANDRA LYNN PHELAN LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801089204MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093983173
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRYSANDRA LYNN PHELAN LMSW
Provider Business Mailing Address
First Line : 9844 DIXIE HWY
Second Line :
City : IRA
State : MI
Zip : 48023-2813
Country : US
Telephone Number : 810-434-6371
Fax Number :
Provider Business Practice Location Address
First Line : 9844 DIXIE HWY
Second Line :
City : IRA
State : MI
Zip : 48023-2813
Country : US
Telephone Number : 810-434-6371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2008
Last Update Date : 08/06/2012

Similar Medicare Providers

1437227923 — NORTH POINT MEDICAL CENTER PC
Practice Location Address:
9838 DIXIE HWY
IRA, MI
48023-2813
Practice Phone: 586-725-9611
Practice Fax: 586-725-2630
1013210087 — ROBERTA M WOLSCHON LPC NCC
Practice Location Address:
9844 DIXIE HWY
IRA, MI
48023-2813
Practice Phone: 586-716-7600
Practice Fax: 586-716-7659
1275839169 — NEW HORIZONS COUNSELING CENTER PLLC
Practice Location Address:
9844 DIXIE HWY
IRA, MI
48023-2813
Practice Phone: 586-716-7600
Practice Fax: 586-716-7659
1205107257 — DEBRA WHEELER LLPC, CDF
Practice Location Address:
9844 DIXIE HWY
IRA, MI
48023-2813
Practice Phone: 586-716-7600
Practice Fax: 586-716-7659
1093074734 — MRS. ERIN SUZANNE FORTUNA GCDF, LPC
Practice Location Address:
9844 DIXIE HWY
IRA, MI
48023-2813
Practice Phone: 586-716-7600
Practice Fax:
1629405683 — AARON RICHARD FORGASH MA LLPC
Practice Location Address:
9844 DIXIE HWY
IRA, MI
48023-2813
Practice Phone: 586-716-7600
Practice Fax:

Directions to “ MRS. KRYSANDRA LYNN PHELAN LMSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.