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General NPI Number Information
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NPI Number | 1326996562
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Entity Type | Organization
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Legal Business Name | KELLY POWERS, LLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 967 SPAULDING AVE SE STE E
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City | ADA
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State | MI
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Zip | 49301-3703
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Country | US
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Telephone | 616-965-1298
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Fax |
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Provider Business Mailing Address
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Address Line | 2016 GODWIN AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49507-3126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KELLY POWERS-GUTIERREZ
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Credential | LMSW
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Telephone | 616-965-1298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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