Provider Demographics
NPI:1194692335
Name:KALAMAZOO CHILD AND FAMILY COUNSELING, PLLC
Entity type:Organization
Organization Name:KALAMAZOO CHILD AND FAMILY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAPONSIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-615-7637
Mailing Address - Street 1:4341 S WESTNEDGE AVE STE 1112
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-3283
Mailing Address - Country:US
Mailing Address - Phone:269-615-7637
Mailing Address - Fax:
Practice Address - Street 1:4341 S WESTNEDGE AVE STE 1112
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49008-3283
Practice Address - Country:US
Practice Address - Phone:269-615-7637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KALAMAZOO CHILD AND FAMILY COUNSELING, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-22
Last Update Date:2025-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty