Provider Demographics
NPI:1386025948
Name:MCGHEE, KELLY ANGEL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:ANGEL
Last Name:MCGHEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11291 MCKINNEY ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-1114
Mailing Address - Country:US
Mailing Address - Phone:313-694-0622
Mailing Address - Fax:888-304-7761
Practice Address - Street 1:29556 SOUTHFIELD RD STE 200
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-2021
Practice Address - Country:US
Practice Address - Phone:947-282-0164
Practice Address - Fax:888-304-7761
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-09
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI6401009379101YM0800X
MI6401017494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health