Search › Michigan › 1041S0200X
Kelly Mattingly, LMSW
NPI 1447173190 · on the registry since 2026 · sole proprietor
Practice
- Address
- 3645 Lone Tree Rd
Milford, MI 48380 - Phone
- (810) 874-3020
Registry record
- Primary taxonomy
- 1041S0200X
1041S0200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan