Individual provider · Type 1 NPI
Carly Lacelle
Psychologist · Portage, MI
Practice location
1611 W Centre Ave Ste 108
Portage, MI 49024-5344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301017883 (MI) |
| Psychologist Primary | 103T00000X | 6361007651 (MI) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1790334829
Carly Lacelle's National Provider Identifier is 1790334829, issued on Sep 11, 2019. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portage, MI. The record was last updated on May 6, 2026.