Provider Demographics
NPI:1366014052
Name:KALAMAZOO COUNSELING & WELLNESS, LLC
Entity Type:Organization
Organization Name:KALAMAZOO COUNSELING & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:JOLIE
Authorized Official - Last Name:PRAEDEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT
Authorized Official - Phone:734-778-0319
Mailing Address - Street 1:1203 MILES AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49001-4931
Mailing Address - Country:US
Mailing Address - Phone:734-778-0319
Mailing Address - Fax:269-620-6248
Practice Address - Street 1:1203 MILES AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49001-4931
Practice Address - Country:US
Practice Address - Phone:734-778-0319
Practice Address - Fax:269-620-6248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health