MEDICARE: MRS. KELLIE LOUISE HERBER M.A

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
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1205187614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KELLIE LOUISE HERBER M.A

Provider Business Mailing Address
First Line	:	1316 FLAXMILL RD
Second Line	:
City	:	HUNTINGTON
State	:	IN
Zip	:	46750-1370
Country	:	US
Telephone Number	:	260-224-2819
Fax Number	:

Provider Business Practice Location Address
First Line	:	1316 FLAXMILL RD
Second Line	:
City	:	HUNTINGTON
State	:	IN
Zip	:	46750-1370
Country	:	US
Telephone Number	:	260-224-2819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	09/25/2012

Similar Medicare Providers

1972630259 — LAURAN BRYAN MD
Practice Location Address:

26711 WOODWARD AVE STE LL1
HUNTINGTON WOODS, MI
48070-1370

Practice Phone: 248-584-0044
Practice Fax:

1578729166 — DR. NIRUPAMA P PADIYAR MD
Practice Location Address:

26711 WOODWARD AVE STE LL5
HUNTINGTON WOODS, MI
48070-1370

Practice Phone: 248-281-0753
Practice Fax: 248-677-4009

1649631789 — PETER GILES LPC, CAADC
Practice Location Address:

26711 WOODWARD AVE STE LL3
HUNTINGTON WOODS, MI
48070-1370

Practice Phone: 901-485-2431
Practice Fax:

1679083372 — COPE PERSONAL DEVELOPMENT CENTER
Practice Location Address:

26711 WOODWARD AVE STE LL2
HUNTINGTON WOODS, MI
48070-1370

Practice Phone: 855-948-1661
Practice Fax: 888-318-6010

1023583663 — COPE PERSONAL DEVELOPMENT CENTER
Practice Location Address:

26711 WOODWARD AVE STE LL2
HUNTINGTON WOODS, MI
48070-1370

Practice Phone: 844-948-1661
Practice Fax: 888-318-6010

1750185849 — SHANVASECTOMY PLLC
Practice Location Address:

26711 WOODWARD AVE STE LLB
HUNTINGTON WOODS, MI
48070-1370

Practice Phone: 313-314-6663
Practice Fax:

Directions to “ MRS. KELLIE LOUISE HERBER M.A” 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.