Provider Demographics
NPI:1922970565
Name:SEACAT, KYLE
Entity type:Individual
Prefix:
First Name:KYLE
Middle Name:
Last Name:SEACAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 MAYVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SILVERWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:48760-9411
Mailing Address - Country:US
Mailing Address - Phone:810-841-4305
Mailing Address - Fax:
Practice Address - Street 1:1570 SUNCREST DR
Practice Address - Street 2:
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-1154
Practice Address - Country:US
Practice Address - Phone:810-667-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker