Organization
BAY AREA COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KELLY PSYD (PSYCHOLOGIST/ OWNER)
(231) 933-4009
Entity
Organization
Contact information
Practice address
3180 RACQUET CLUB DR, TRAVERSE CITY, MI 49684-4797
(231) 933-4009
(231) 933-4032
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/09/2007
Last updated
12/18/2023
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