Mockridge, Kayla

Mockridge, Kayla is an sole proprietor health care provider with primary practice located at 711 E Grand River Ave Ste A , Brighton MI 48116-2474. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mockridge, Kayla can be contacted via phone (989) 890-8228.

Contact Information

Primary practice address
711 E Grand River Ave Ste A Brighton MI 48116-2474
Phone: (989) 890-8228
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801114459 Michigan

Profile Details

NPI number 1497275713
LBN Legal business name Mockridge, Kayla
Credentials LMSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2017
Last updated Nov 14th, 2022 - about 2 years ago

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 1497275713 NPPES
Michigan MEDICAID 106S00000X

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