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KAYLEN BOURDAGE
NPI 1811732001
Peer Specialist in Southgate, MI

Active since June 28, 2024
13101 ALLEN RD, SOUTHGATE, MI 48195(734) 785-7700 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kaylen Bourdage NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLEN BOURDAGE (NPI 1811732001) is an individual peer specialist in Southgate, Michigan and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1811732001
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKAYLEN BOURDAGE
Location Address13101 ALLEN RDSouthgate, MI 48195-2216
Mailing Address13101 Allen RdSouthgate, MI 48195-2216
Phone(734) 785-7700
Sole ProprietorYes
Enumeration DateJune 28, 2024
NPPES CertifiedJune 27, 2024
✔ NPI 1811732001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
13101 ALLEN RD, Southgate, MI 48195
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI SUE MITCHELL RN
Registered Nurse
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7731
SHANNON BAYNAI
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
MISS RENEE GOLDSBY
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 486-3199
POONAM SHYAM MELWANI
Social Worker
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
MR. JAMES GERARD LIVINGSTON LLMSW
Social Worker (Clinical)
13101 ALLEN RD, SUITE 400
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
VICKIE LYNN NOVELL LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700
CLAUDETTE JEFFERSON LMSW
Social Worker (Clinical)
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7705
RICKY DAVIS QMHS-B
Case Manager/Care Coordinator
13101 ALLEN RD
SOUTHGATE, MI 48195
Wayne County (734) 785-7700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaylen Bourdage's NPI number?

The NPI number for Kaylen Bourdage is 1811732001. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Kaylen Bourdage located?

Kaylen Bourdage practices at 13101 Allen Rd, Southgate, MI 48195. The listed phone number is (734) 785-7700.

What is Kaylen Bourdage's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kaylen Bourdage was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.