Individual
DR. KATHY LARKEY-GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
529 W GRAND RIVER AVE, EAST LANSING, MI 48823-4203
(517) 490-1455
(517) 962-0035
Mailing address
3448 E LAKE LANSING RD, EAST LANSING, MI 48823-1511
(517) 332-3870
(517) 332-9247
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006910
MI
104100000X
Social Worker
6801064381
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KL064381
MI STATE LICENSE NUMBER
MI
01
—
MI19481
MEDICARE
MI
01
—
P208972720
BCBSM
MI
Enumeration date
12/13/2006
Last updated
05/09/2025
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