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

Kelly Devonne Myricks, LPC

Individual provider Substance Abuse Rehabilitation Facility · NPI 1891058046

Kelly Devonne Myricks, LPC is a Substance Abuse Rehabilitation Facility in Detroit, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

707 W Milwaukee St
Detroit, MI 48202-2943
Phone: (313) 344-9099
Fax: (313) 893-1735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 6401011597 (MI)
Substance Abuse Rehabilitation Facility Taxonomy 324500000X · Licence 820317 (MI)

Record details

NPI number1891058046
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 22, 2012
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021

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