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MANDILYN RENICE GRAHAM LCPC
NPI 1366951709
Counselor - Professional in Ypsilanti, MI

Active since September 28, 2017
7770 PAINT CREEK DR, YPSILANTI, MI 48197(773) 301-3640 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 16, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Mandilyn Renice Graham Lcpc NPPES

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

MANDILYN RENICE GRAHAM LCPC (NPI 1366951709) is an individual professional provider in Ypsilanti, Michigan, licensed in Illinois (180.009581) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1366951709
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMANDILYN RENICE GRAHAMCredential: LCPC
Location Address7770 PAINT CREEK DRYpsilanti, MI 48197-6139
Mailing Address17485 Eastgate DrCountry Club Hills, IL 60478-4640 · (773) 301-3640
Phone(773) 301-3640
Sole ProprietorYes
Enumeration DateSeptember 28, 2017
Last NPPES UpdateFebruary 16, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
✔ NPI 1366951709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180.009581✔ Licensed in MI · 6401222749
7770 PAINT CREEK DR, Ypsilanti, MI 48197
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Other Names 1

Other Name (5)Mandilyn Renice Green Lcpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of Michigan Mutual Insurance Company and more.Insurance ›

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 Mandilyn Graham's NPI number?

The NPI number for Mandilyn Graham is 1366951709. It was assigned to this individual provider in the NPPES registry on September 28, 2017. The provider is also known as Mandilyn Renice Green Lcpc.

Where is Mandilyn Graham located?

Mandilyn Graham practices at 7770 Paint Creek Dr, Ypsilanti, MI 48197. The listed phone number is (773) 301-3640.

What is Mandilyn Graham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Mandilyn Graham accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Texas, Priority Health and UnitedHealthcare list Mandilyn Graham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mandilyn Graham was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.