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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PARADISE AFC HOME LLC
NPI 1245145549
Psychologist - Health Service in Lake City, MI

Active since August 19, 2026
4021 W HOUGHTON LAKE RD, LAKE CITY, MI 49651(231) 839-0128 Get Directions Write a Review

NPPES record added: August 19, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Paradise Afc Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PARADISE AFC HOME LLC (NPI 1245145549) is a healthcare organization registered as a health service in Lake City, Michigan and active in the NPI registry since August 2026. The organization lists Kahlee Carol Kenwabikise, Owner, as its authorized official.

NPPES Registry Identity

NPI1245145549
Entity TypeOrganization
Primary Taxonomy103TH0100X
Legal Business NamePARADISE AFC HOME LLC
Location Address4021 W HOUGHTON LAKE RDLake City, MI 49651-8455
Mailing Address4021 W Houghton Lake RdLake City, MI 49651-8455 · (231) 839-0128
Phone(231) 839-0128
Organization SubpartNo
Authorized OfficialKahlee Carol KenwabikiseOwner · (231) 878-0120
Enumeration DateAugust 19, 2026
NPPES CertifiedAugust 19, 2026
✔ NPI 1245145549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
4021 W HOUGHTON LAKE RD, Lake City, MI 49651
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paradise AFC Home LLC's NPI number?

The NPI number for Paradise AFC Home LLC is 1245145549. It was assigned to this organization in the NPPES registry on August 19, 2026.

Where is Paradise AFC Home LLC located?

Paradise AFC Home LLC is located at 4021 W Houghton Lake Rd, Lake City, MI 49651. The listed phone number is (231) 839-0128.

What is Paradise AFC Home LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Paradise AFC Home LLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.