Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Otp LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1265150767

Kelly Otp LLC is an Addiction (Substance Use Disorder) Counselor in Roseville, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25200 Kelly Rd
Roseville, MI 48066-4473
Phone: (586) 422-1250
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Methadone Clinic (primary) Taxonomy 261QM2800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Counseling Psychologist Taxonomy 103TC1900X
Clinical Social Worker Taxonomy 1041C0700X
Addiction Medicine (Family Medicine) Physician Taxonomy 207QA0401X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Medical Specialty Clinic/Center Taxonomy 261QM2500X

Record details

NPI number1265150767
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aaron Alston — Pratice Administrator · (248) 971-0150
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 16, 2023
Certification dateAugust 16, 2023
Mailing address7 Riverbank Dr, Beverly Hills, MI 48025-4800

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