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

Polly Ann McCaul, LLC

Individual provider Counselor · NPI 1790455293

Polly Ann McCaul, LLC is a Counselor in Kentwood, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3744 28th St SE
Kentwood, MI 49512-1802
Phone: (800) 395-3223
Fax: (248) 620-6405
Show map & directions

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

Additional practice locations (1)

  • 3777 44th St Se Ste 2, Grand Rapids, MI 49512-3945 — (616) 209-9192

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 6451017485 (MI)
Counselor Taxonomy 101Y00000X · Licence 6401017485 (MI)

Record details

NPI number1790455293
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLC
Sole proprietorNo
NPI enumeratedSeptember 16, 2021
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024
Mailing address6549 Town Center Dr Ste A, Clarkston, MI 48346-4824

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