| Behind The Line, Lc | |
|
29915 West Rd New Boston MI 48164-9473 | |
| (734) 642-7365 | |
| Not Available |
| Full Name | Behind The Line, Lc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 29915 West Rd, New Boston, Michigan |
| Authorized Official Name and Position | Jessica Balowski (OWNER) |
| Authorized Official Contact | 7346427365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behind The Line, Lc 26216 Gibraltar Rd Unit 1072 Flat Rock MI 48134-7738 Ph: () - | Behind The Line, Lc 29915 West Rd New Boston MI 48164-9473 Ph: (734) 642-7365 |
| NPI Number | 1023757770 |
|---|---|
| Provider Enumeration Date | 06/01/2022 |
| Last Update Date | 06/01/2022 |
| Certification Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023757770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
New Beginnings Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 37675 Canterbury Cir, New Boston, MI 48164 Phone: 956-667-1035 |