Individual provider · NPI-1

Kisha Beverly

Counselor, Mental Health · Lansing, MI

NPI number1790624682
StatusActive
Last updated in NPPESMar 26, 2026

Details

NPI
1790624682
Entity type
Individual (NPI-1)
Name
Kisha Beverly
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 26, 2026
Certification date
Mar 26, 2026
Last updated
Mar 26, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–MIYes
104100000X Social Worker–MI
251B00000X Case Management–MI
171400000X Health & Wellness Coach–MI
172V00000X Community Health Worker–MI
171M00000X Case Manager/Care Coordinator–MI

Practice location

5303 S Cedar St Ste 3
Lansing, MI 48911-3800

Phone 517-231-2482

Mailing address

5303 S Cedar St Ste 3
Lansing, MI 48911-3800

Phone 517-231-2482

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