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

Kim Michelle Childress

Individual provider Professional Counselor · NPI 1124410808

Kim Michelle Childress is a Professional Counselor in Kentwood, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2015

Practice location Address checks out

3300 36th St SE
Kentwood, MI 49512-2810
Phone: (616) 304-7517
Show map & directions

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

Additional practice locations (1)

  • 3181 Prairie St Sw Ste 104, Grandville, MI 49418-2076 — (616) 304-7517

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6451015430 (MI)

Record details

NPI number1124410808
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 4, 2015
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

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