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MRS. KATHRYN ANN FAZZALARE LPC
NPI 1770463549
Counselor - Professional in Mount Clemens, MI

Active since September 03, 2025
43565 ELIZABETH ST, MOUNT CLEMENS, MI 48043(586) 307-9464(586) 307-9305 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kathryn Ann Fazzalare Lpc NPPES

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

MRS. KATHRYN ANN FAZZALARE LPC (NPI 1770463549) is an individual professional provider in Mount Clemens, Michigan and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1770463549
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KATHRYN ANN FAZZALARECredential: LPC
Location Address43565 ELIZABETH STMount Clemens, MI 48043-1001
Mailing Address43565 Elizabeth StMount Clemens, MI 48043-1001 · (586) 307-9464 · Fax (586) 307-9305
Phone(586) 307-9464
Fax(586) 307-9305
Sole ProprietorNo
Enumeration DateSeptember 3, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1770463549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
43565 ELIZABETH ST, Mount Clemens, MI 48043
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Other Providers at the Same Location NPPES 3

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

ERNESTO HERMOSILLA BEDIA M.D.
Internal Medicine
43565 ELIZABETH ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 307-9611
STEPHANIE MARIE HARMON MSW
Social Worker
43565 ELIZABETH ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 307-9478
MS. PATRICIA ANN MELI BA
Counselor (Mental Health)
43565 ELIZABETH ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 942-0111

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 Kathryn Fazzalare's NPI number?

The NPI number for Kathryn Fazzalare is 1770463549. It was assigned to this individual provider in the NPPES registry on September 3, 2025.

Where is Kathryn Fazzalare located?

Kathryn Fazzalare practices at 43565 Elizabeth St, Mount Clemens, MI 48043. The listed phone number is (586) 307-9464.

What is Kathryn Fazzalare's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathryn Fazzalare was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.