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General NPI Number Information
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NPI Number | 1285457598
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Entity Type | Organization
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Legal Business Name | EMILY BROUWERS COUNSELING LLC
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Dates
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Enumeration Date | 11/05/2024
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 625 KENMOOR AVE SE STE 301
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-2395
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Country | US
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Telephone | 616-209-9142
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Fax |
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Provider Business Mailing Address
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Address Line | 1451 LAKE DR SE # 6062
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City | GRAND RAPIDS
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State | MI
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Zip | 49506-1760
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Country | US
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Telephone | 616-209-9142
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY BROUWERS
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Credential | MA, LPC
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Telephone | 616-209-9142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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