Individual
KISHA BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5303 S CEDAR ST STE 3, LANSING, MI 48911-3800
(517) 231-2482
Mailing address
5303 S CEDAR ST STE 3, LANSING, MI 48911-3800
(517) 231-2482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MI
104100000X
Social Worker
—
MI
171400000X
Health & Wellness Coach
—
MI
171M00000X
Case Manager/Care Coordinator
—
MI
172V00000X
Community Health Worker
—
MI
251B00000X
Case Management Agency
—
MI
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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