Individual provider · Type 1 NPI
Kisha Beverly
Mental Health Counselor · Lansing, MI
NPI number
1790624682
Active
Practice location
5303 S Cedar St Ste 3
Lansing, MI 48911-3800
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | None listed |
| Case Management Agency | 251B00000X | None listed |
| Health & Wellness Coach | 171400000X | None listed |
| Community Health Worker | 172V00000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1790624682
Kisha Beverly's National Provider Identifier is 1790624682, issued on Mar 26, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lansing, MI. The record was last updated on Mar 26, 2026.