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KELLY DEVONNE MYRICKS LPC
NPI 1891058046
Counselor in Detroit, MI

Active since June 22, 2012
707 W MILWAUKEE ST, DETROIT, MI 48202(313) 344-9099(313) 893-1735 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Devonne Myricks Lpc NPPES

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

KELLY DEVONNE MYRICKS LPC (NPI 1891058046) is an individual counselor in Detroit, Michigan, licensed in Michigan (6401011597) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1891058046
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY DEVONNE MYRICKSCredential: LPC
Location Address707 W MILWAUKEE STDetroit, MI 48202-2943
Mailing Address707 W Milwaukee StDetroit, MI 48202-2943 · (313) 344-9099 · Fax (313) 893-1735
Phone(313) 344-9099
Fax(313) 893-1735
Sole ProprietorYes
Enumeration DateJune 22, 2012
Last NPPES UpdateNovember 10, 2021
NPPES CertifiedNovember 10, 2021
✔ NPI 1891058046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401011597
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 820317 (MI)
707 W MILWAUKEE ST, Detroit, MI 48202
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Other Providers at the Same Location NPPES 20

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

KARYNTHIA STORY
Behavior Technician
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MARK ELTON APPLETON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444
MELISSA MOODY
Psychologist (Cognitive & Behavioral)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 410-4992
MS. VICKY KAY POLITOWSKI LMSW
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (248) 217-2971
JEWEL IRLENE WALTON
Peer Specialist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
SAGE RINGSMUTH
Social Worker (Clinical)
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
DAWN MARIE BURCH MA, LLP
Psychologist
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 344-9099
CRYSTAL LAVERA BURKES RN
Registered Nurse
707 W MILWAUKEE ST
DETROIT, MI 48202
Wayne County (313) 989-9444

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 Kelly Myricks's NPI number?

The NPI number for Kelly Myricks is 1891058046. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Kelly Myricks located?

Kelly Myricks practices at 707 W Milwaukee St, Detroit, MI 48202. The listed phone number is (313) 344-9099.

What is Kelly Myricks's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Myricks was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.