Provider Demographics
NPI:1902628571
Name:KAPP, EMILY (MA, LLC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:KAPP
Suffix:
Gender:X
Credentials:MA, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1713 HERBERT ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48910-1514
Mailing Address - Country:US
Mailing Address - Phone:517-242-6003
Mailing Address - Fax:
Practice Address - Street 1:720 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1674
Practice Address - Country:US
Practice Address - Phone:734-219-6614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health