IndividualActive
Kimberly Elyse, PH.D.
NPI 1730320342 · Pastoral Counselor · Detroit, MI
Provider details
- NPI number
- 1730320342
- Entity type
- Individual
- Primary specialty
- Pastoral CounselorBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
Practice location
12305 Dexter Ave
Detroit, MI 48206-1015
Phone: (313) 397-1306
Fax: (313) 397-6010
Mailing address
12305 Dexter Ave
Detroit, MI 48206-1015
Registry dates
- Enumerated
- 2009-03-11
- Last updated
- 2009-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.