Individual
MS. KELLY ANN MACHIORLATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
80 OTTAWA AVE NW STE 425, GRAND RAPIDS, MI 49503-2648
(616) 920-0022
(616) 616-5680
Mailing address
2127 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2114
(616) 617-7378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024729
MI
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
02/09/2026
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