Kelly S Roberson, LPC | |
513 Hume Blvd, Lansing, MI 48917-4247 | |
(517) 712-9736 | |
Not Available |
Full Name | Kelly S Roberson |
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Gender | Female |
Speciality | Counselor |
Location | 513 Hume Blvd, Lansing, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316384480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 6401013673 (Michigan) | Secondary |
101Y00000X | Counselor | 6401013673 (Michigan) | Primary |
Entity Name | Evolve Counseling & Holistic Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689122830 PECOS PAC ID: 0648621029 Enrollment ID: O20240110002041 |
Mailing Address | Practice Location Address |
---|---|
Kelly S Roberson, LPC 513 Hume Blvd, Lansing, MI 48917-4247 Ph: (517) 712-9736 | Kelly S Roberson, LPC 513 Hume Blvd, Lansing, MI 48917-4247 Ph: (517) 712-9736 |
Rebecca Fitton, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Elmshaven Dr, Lansing, MI 48917 Phone: 802-922-3848 | |
Stephanie Gogarn, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5010 Delbrook Ave, Lansing, MI 48910 Phone: 517-410-0843 | |
Tricia Diann Daniels, CLINICAL SPECIALIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 419 N Mlk Blvd, Lansing, MI 48915 Phone: 517-887-0226 Fax: 517-887-8121 | |
Madison Boyle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1717 N High St, Lansing, MI 48906 Phone: 517-372-4700 | |
Lauren C Radke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 812 E Jolly Rd, Ste 216, Lansing, MI 48910 Phone: 517-346-9579 Fax: 517-346-8291 | |
Rebecca Lynn Brown, BA, DP-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 3410 Old Lansing Rd, Lansing, MI 48917 Phone: 517-657-2980 Fax: 517-993-5982 | |
Mr. Mark Anthony Denning Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 4814 Tressa Dr, Lansing, MI 48910 Phone: 517-862-4693 |