Provider Demographics
NPI:1609964584
Name:KAY, RICHARD J (LMSW, LPC LLP)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:J
Last Name:KAY
Suffix:
Gender:M
Credentials:LMSW, LPC LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31275 NORTHWESTERN HWY
Mailing Address - Street 2:SUITE 249
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2558
Mailing Address - Country:US
Mailing Address - Phone:248-932-7799
Mailing Address - Fax:248-932-0220
Practice Address - Street 1:31275 NORTHWESTERN HWY
Practice Address - Street 2:SUITE 249
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-2558
Practice Address - Country:US
Practice Address - Phone:248-932-7799
Practice Address - Fax:248-932-0220
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL698440101YP2500X
MIL925040103T00000X
MIL8803061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical