Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Lacelle

Individual provider Counseling Psychologist · NPI 1790334829

Carly Lacelle is a Counseling Psychologist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

1611 W Centre Ave Ste 108
Portage, MI 49024-5344
Phone: (269) 366-8858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6361007651 (MI)
Counseling Psychologist Taxonomy 103TC1900X · Licence 6301017883 (MI)

Record details

NPI number1790334829
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address1611 W Centre Ave Ste 108, Portage, MI 49024-5344

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