Individual
EMRIELLE VANCLEAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5455 GULL RD STE D, #231, KALAMAZOO, MI 49048
(810) 269-4152
Mailing address
5455 GULL RD STE D, #231, KALAMAZOO, MI 49048-7654
(810) 269-4152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OR
106H00000X
Marriage & Family Therapist
0717002642
VA
106H00000X
Marriage & Family Therapist
Primary
4101007556
MI
106S00000X
Behavior Technician
—
MI
175T00000X
Peer Specialist
—
OR
Other
Enumeration date
07/13/2016
Last updated
05/04/2026
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