Everson, Kilolo Bibi

Everson, Kilolo Bibi is an sole proprietor health care provider with primary practice located at 175 N Groesbeck Hwy , Mount Clemens MI 48043-1562. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Everson, Kilolo Bibi can be contacted via phone (586) 713-5112.

Contact Information

Primary practice address
175 N Groesbeck Hwy Mount Clemens MI 48043-1562
Phone: (586) 713-5112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1902494503
LBN Legal business name Everson, Kilolo Bibi
Credentials LLMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2021
Last updated Apr 21st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902494503 NPPES
Michigan MEDICAID 6801107083

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