Provider Demographics
NPI:1588260996
Name:KALAMAZOO ACT PSYCHOTHERAPY SERVICES
Entity type:Organization
Organization Name:KALAMAZOO ACT PSYCHOTHERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBAJAL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LLP, LPC, NCC
Authorized Official - Phone:269-888-2418
Mailing Address - Street 1:251 N ROSE ST STE 200
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49007-3874
Mailing Address - Country:US
Mailing Address - Phone:269-888-2418
Mailing Address - Fax:269-359-7222
Practice Address - Street 1:251 N ROSE ST STE 200
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49007-3874
Practice Address - Country:US
Practice Address - Phone:269-888-2418
Practice Address - Fax:269-359-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty