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Organization
KENNEDY CONSULTATION & WELLNESS
Active
Organization
KENNEDY CONSULTATION & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA RENE KENNEDY LMSW (OWNER)
(269) 364-4157
Entity
Organization
Contact information
Practice address
1611 W CENTRE AVE STE 110, PORTAGE, MI 49024-5344
(269) 350-4157
Mailing address
1611 W CENTRE AVE STE 110, PORTAGE, MI 49024-5344
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/05/2026
Last updated
08/27/2026
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