Provider Demographics
NPI:1467911024
Name:MORELLI, KAITLYNN RAYE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KAITLYNN
Middle Name:RAYE
Last Name:MORELLI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KAITLYNN
Other - Middle Name:RAYE
Other - Last Name:SINKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:45073 ELMHURST CT
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-4986
Mailing Address - Country:US
Mailing Address - Phone:810-599-5866
Mailing Address - Fax:
Practice Address - Street 1:15300 21 MILE RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48044-5024
Practice Address - Country:US
Practice Address - Phone:810-599-5866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015480101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty