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General NPI Number Information
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NPI Number | 1477432029
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Entity Type | Organization
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Legal Business Name | KELLY BOWLES COUNSELING
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 128 N CHALKVILLE RD
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City | TRUSSVILLE
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State | AL
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Zip | 35173-1373
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Country | US
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Telephone | 205-259-8145
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Fax | 205-228-0277
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Provider Business Mailing Address
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Address Line | 309 BRENTWOOD AVE
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City | TRUSSVILLE
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State | AL
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Zip | 35173-1151
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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 BOWLES
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Credential |
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Telephone | 205-259-8145
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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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