Provider Demographics
NPI:1588317929
Name:DOLCE, KYLE (LLP)
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:DOLCE
Suffix:
Gender:
Credentials:LLP
Other - Prefix:
Other - First Name:KYLE
Other - Middle Name:C
Other - Last Name:DOLCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLP
Mailing Address - Street 1:2471 WOODLAKE RD SW APT 1
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49519-4707
Mailing Address - Country:US
Mailing Address - Phone:616-826-2944
Mailing Address - Fax:
Practice Address - Street 1:4250 CHICAGO DR SW STE B
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-1506
Practice Address - Country:US
Practice Address - Phone:616-805-3660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6362009473103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling