| Kathy Ballard Behavioral Health Services Llc | |
|
405 Newberry Avenue Newberry MI 49868 | |
| (906) 293-1982 | |
| (906) 293-1982 |
| Full Name | Kathy Ballard Behavioral Health Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 405 Newberry Avenue, Newberry, Michigan |
| Authorized Official Name and Position | Kathy R Ballard (SOLE PROPRIETOR) |
| Authorized Official Contact | 9062931982 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy Ballard Behavioral Health Services Llc Po Box 44 405 Newberry Avenue Newberry MI 49868 Ph: (906) 293-1982 | Kathy Ballard Behavioral Health Services Llc 405 Newberry Avenue Newberry MI 49868 Ph: (906) 293-1982 |
| NPI Number | 1700119989 |
|---|---|
| Provider Enumeration Date | 09/06/2009 |
| Last Update Date | 10/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700119989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801059263 (Michigan) | Primary |
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Superior Potential P.l.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7602 State Highway M123, Newberry, MI 49868 Phone: 906-322-9576 Fax: 906-293-7150 | |
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