Provider Demographics
NPI:1780244673
Name:BOVEE, KATLYNN ELIZABETH (LMSW)
Entity type:Individual
Prefix:MISS
First Name:KATLYNN
Middle Name:ELIZABETH
Last Name:BOVEE
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 KENMOOR AVE SE STE 113487
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-2395
Mailing Address - Country:US
Mailing Address - Phone:989-225-7652
Mailing Address - Fax:989-391-9596
Practice Address - Street 1:625 KENMOOR AVE SE STE 113487
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-2395
Practice Address - Country:US
Practice Address - Phone:989-225-7652
Practice Address - Fax:989-391-9596
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker