Provider Demographics
NPI:1477955326
Name:KALIN COACHING AND CONSULTING PLLC
Entity Type:Organization
Organization Name:KALIN COACHING AND CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITZI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KALIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:269-408-8474
Mailing Address - Street 1:521 STATE ST
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MI
Mailing Address - Zip Code:49085-1369
Mailing Address - Country:US
Mailing Address - Phone:269-408-8474
Mailing Address - Fax:269-408-8475
Practice Address - Street 1:521 STATE ST
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MI
Practice Address - Zip Code:49085-1369
Practice Address - Country:US
Practice Address - Phone:269-408-8474
Practice Address - Fax:269-408-8725
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-23
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301012953103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty