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

Misty Chanel Pruitt, LLMSW

Individual provider Mental Health Counselor · NPI 1992660146

Misty Chanel Pruitt, LLMSW is a Mental Health Counselor in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025

Practice location Address checks out

3167 Kalamazoo Ave SE Ste 116
Grand Rapids, MI 49508-1475
Phone: (630) 696-3204
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6851121165 (MI)

Record details

NPI number1992660146
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorNo
NPI enumeratedDecember 19, 2025
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

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