Individual provider · Type 1 NPI

Misty Chanel Pruitt, LLMSW

Mental Health Counselor · Grand Rapids, MI

NPI number 1992660146 Active

Practice location

3167 Kalamazoo Ave SE Ste 116
Grand Rapids, MI 49508-1475

Call (630) 696-3204 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6851121165 (MI)

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in Grand Rapids

See all in Grand Rapids →

About NPI 1992660146

Misty Chanel Pruitt, LLMSW's National Provider Identifier is 1992660146, issued on Dec 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 19, 2025.