MEDICARE: KATELYN A. LIPP LPC LMFT, LLC

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	106H00000X	Marriage & Family Therapist
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1528797313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATELYN A. LIPP LPC LMFT, LLC

Provider Business Mailing Address
First Line	:	39209 6 MILE RD STE 211
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3900
Country	:	US
Telephone Number	:	248-470-1102
Fax Number	:

Provider Business Practice Location Address
First Line	:	39209 6 MILE RD STE 211
Second Line	:
City	:	LIVONIA
State	:	MI
Zip	:	48152-3900
Country	:	US
Telephone Number	:	248-470-1102
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL THERAPIST / OWNER
Name	:	KATELYN A. LIPP
Credential	:	MA, LPC, LMFT, CAADC
Telephone Number	:	248-470-1102

Provider Enumeration Date	:	06/07/2022
Last Update Date	:	03/22/2026

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