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NPI Code Detail

MEDICARE: FIRST RESPONDERS SUPPORT LLC

MEDICARE: FIRST RESPONDERS SUPPORT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1013802875
Entity Type Code : Organization
Provider Name (Legal Business Name) : FIRST RESPONDERS SUPPORT LLC
Provider Business Mailing Address
First Line : 733 WIND RIDGE CT
Second Line :
City : ZEELAND
State : MI
Zip : 49464-8442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2874 PORT SHELDON ST
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-7898
Country : US
Telephone Number : 616-741-1237
Fax Number :
Authorized Official
Title or Position : OWNER/THERAPIST
Name : MRS. KERRIE MURPHY
Credential : LMSW
Telephone Number : 616-304-1453
Provider Enumeration Date : 06/11/2025
Last Update Date : 06/19/2025

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Directions to “FIRST RESPONDERS SUPPORT LLC ” Practice Location

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