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KELLY PORTER
NPI 1841774205
Counselor - Addiction (Substance Use Disorder) in Detroit, MI

Active since September 21, 2018
9605 GRAND RIVER AVE, DETROIT, MI 48204(313) 834-5930 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Porter NPPES

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

KELLY PORTER (NPI 1841774205) is an individual addiction (substance use disorder) provider in Detroit, Michigan and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1841774205
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY PORTER
Location Address9605 GRAND RIVER AVEDetroit, MI 48204-2139
Mailing Address9605 Grand River AveDetroit, MI 48204-2139 · (313) 834-5930
Phone(313) 834-5930
Sole ProprietorNo
Enumeration DateSeptember 21, 2018
✔ NPI 1841774205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
9605 GRAND RIVER AVE, Detroit, MI 48204
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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.

NARDIN PARK RECOVERY CENTER,INC.
Clinic/Center (Methadone)
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
MS. ANGELA L WATSON
Counselor (Addiction (Substance Use Disorder))
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
DR. TIMOTHY ALAN WILLIAMS MDIV, DMIN, MA, ACC
Case Manager/Care Coordinator
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (678) 870-5515
MRS. GERALDINE MOREHEAD-JOHNSON RN
Registered Nurse
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
DR. JULIAN M GORDON PH.D.
Counselor (Addiction (Substance Use Disorder))
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
MR. JAMES DARRYL PARKS FAODP
Counselor
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
RASHIDA KING
Licensed Practical Nurse
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930
ILENE BISHAW
Counselor (Addiction (Substance Use Disorder))
9605 GRAND RIVER AVE
DETROIT, MI 48204
Wayne County (313) 834-5930

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 Kelly Porter's NPI number?

The NPI number for Kelly Porter is 1841774205. It was assigned to this individual provider in the NPPES registry on September 21, 2018.

Where is Kelly Porter located?

Kelly Porter practices at 9605 Grand River Ave, Detroit, MI 48204. The listed phone number is (313) 834-5930.

What is Kelly Porter's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Porter was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.