| Carly Lacelle, | |
|
1611 W Centre Ave Ste 108, Portage, MI 49024-5344 | |
| (269) 366-8858 | |
| Not Available |
| Full Name | Carly Lacelle |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 1611 W Centre Ave Ste 108, Portage, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790334829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 6301017883 (Michigan) | Secondary |
| 103T00000X | Psychologist | 6361007651 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carly Lacelle, 1611 W Centre Ave Ste 108, Portage, MI 49024-5344 Ph: () - | Carly Lacelle, 1611 W Centre Ave Ste 108, Portage, MI 49024-5344 Ph: (269) 366-8858 |
Patricia Shull-blood, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5148 Lovers Ln, Suite 200, Portage, MI 49002 Phone: 269-343-3010 Fax: 269-343-3017 | |
Mr. Timothy Lewis Radabaugh, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 742 Ludington Ave, Portage, MI 49002 Phone: 269-876-0228 | |
Lee Carlin Sanders, MA LLP LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10056 Woodlawn Dr, Portage, MI 49002 Phone: 269-324-9805 | |
Dr. Kristin Rae Gillen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1514 W Milham Ave, Portage, MI 49024 Phone: 269-342-0606 | |
Dr. Ollie Garfield Barnes Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 576 Romence Rd, Suite 222, Portage, MI 49024 Phone: 269-207-7373 Fax: 269-323-2282 | |
Mrs. Shawn Marie Kolhoff, M.A., L.L.P. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 1125 E Milham Ave Ste B, Portage, MI 49002 Phone: 269-312-1446 Fax: 269-225-6949 | |
Sheri L Heflin, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1662 E Centre Ave, Portage, MI 49002 Phone: 269-321-8564 Fax: 269-321-8641 |