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KYLEIGH FOWLER
NPI 1942996129
Community Based Residential Treatment Facility, Mental Illness in Grand Rapids, MI

Active since April 12, 2023
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000(616) 281-6459 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Apr 12, 2023 (2 updates tracked since 2023).

About Kyleigh Fowler NPPES

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

KYLEIGH FOWLER (NPI 1942996129) is an individual community based residential treatment facility, mental illness provider in Grand Rapids, Michigan and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1942996129
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameKYLEIGH FOWLER
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address4829 E Beltline Ave Ne Ste 310Grand Rapids, MI 49525-9350 · (616) 279-6414 · Fax (616) 591-3393
Phone(616) 455-5000
Fax(616) 281-6459
Sole ProprietorNo
Enumeration DateApril 12, 2023
Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1942996129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
300 68TH ST SE, Grand Rapids, MI 49548
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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.

JILLIAN LEIGH MURRAY L.C.S.W
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
CANDY MCKENNEY
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
TAO CHANCE BROWN-EDWARDS
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. REBECCA JOY BACK LMSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (269) 929-7342
SARA RENE QUASHNIE LLMSW
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
KIMERA RAIN HARRIS
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500
AMY LOUISE MCGAREY MSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
JUNE BUIKEMA-TEBEAU
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000

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 Kyleigh Fowler's NPI number?

The NPI number for Kyleigh Fowler is 1942996129. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Kyleigh Fowler located?

Kyleigh Fowler practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is Kyleigh Fowler's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Kyleigh Fowler was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.