Myricks, Kelly Devonne

Myricks, Kelly Devonne is an sole proprietor health care provider with primary practice located at 707 W Milwaukee St , Detroit MI 48202-2943. She recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Myricks, Kelly Devonne can be contacted via phone (313) 344-9099.

Contact Information

Primary practice address
707 W Milwaukee St Detroit MI 48202-2943
Phone: (313) 344-9099
Fax: (313) 893-1735
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 820317 Michigan
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401011597 Michigan

Profile Details

NPI number 1891058046
LBN Legal business name Myricks, Kelly Devonne
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2012
Last updated Nov 10th, 2021 - about 4 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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