DR. KIMBERLY ELYSE PH.D.
NPI 1730320342
Counselor - Pastoral in Detroit, MI

Active since March 11, 2009
12305 DEXTER AVE, DETROIT, MI 48206(313) 397-1306(313) 397-6010 Get Directions Write a Review

NPPES record last updated: March 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Elyse Ph.d. NPPES

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

DR. KIMBERLY ELYSE PH.D. (NPI 1730320342) is an individual pastoral provider in Detroit, Michigan and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1730320342
Entity TypeIndividualFemale
Primary Taxonomy101YP1600X
Provider Legal NameDR. KIMBERLY ELYSECredential: PH.D.
Location Address12305 DEXTER AVEDetroit, MI 48206-1015
Mailing Address12305 Dexter AveDetroit, MI 48206-1015 · (313) 397-1306 · Fax (313) 397-6010
Fax(313) 397-6010
Sole ProprietorNo
Enumeration DateMarch 11, 2009
NPI 1730320342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
12305 DEXTER AVE, Detroit, MI 48206

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
12305 DEXTER AVE
DETROIT, MI 48206
Counselor (Addiction (Substance Use Disorder))
12305 DEXTER AVE
DETROIT, MI 48206
Counselor (Addiction (Substance Use Disorder))
12305 DEXTER AVE
DETROIT, MI 48206
Substance Abuse Rehabilitation Facility
12305 DEXTER AVE
DETROIT, MI 48206
Substance Abuse Rehabilitation Facility
12305 DEXTER AVE
DETROIT, MI 48206

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 Kimberly Elyse's NPI number?

The NPI number for Kimberly Elyse is 1730320342. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Where is Kimberly Elyse located?

Kimberly Elyse practices at 12305 Dexter Ave, Detroit, MI 48206. The listed phone number is (313) 397-1306.

What is Kimberly Elyse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Pastoral, with taxonomy code 101YP1600X.

When was this NPI record last updated?

The NPPES record for Kimberly Elyse was last updated on March 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.