Provider Demographics
NPI:1639801483
Name:NYA COUNSELING PLLC
Entity Type:Organization
Organization Name:NYA COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:ADDAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KILPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:517-896-5900
Mailing Address - Street 1:3520 FERNWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:MI
Mailing Address - Zip Code:48854-9385
Mailing Address - Country:US
Mailing Address - Phone:517-896-5900
Mailing Address - Fax:833-596-1611
Practice Address - Street 1:6920 S CEDAR ST STE 8
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-6924
Practice Address - Country:US
Practice Address - Phone:517-896-5900
Practice Address - Fax:833-596-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty