| Transitions Wellness Center Llc | |
|
16587 Enterprise Dr Three Rivers MI 49093-7902 | |
| (269) 273-2024 | |
| (269) 273-3191 |
| Full Name | Transitions Wellness Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 16587 Enterprise Dr, Three Rivers, Michigan |
| Authorized Official Name and Position | Michael R. Ballard (OWNER) |
| Authorized Official Contact | 2692732024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions Wellness Center Llc 16587 Enterprise Dr Three Rivers MI 49093-7902 Ph: (269) 273-2024 | Transitions Wellness Center Llc 16587 Enterprise Dr Three Rivers MI 49093-7902 Ph: (269) 273-2024 |
| NPI Number | 1215155403 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3476652330 |
|---|---|
| Medicare Enrollment ID | O20070619000353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215155403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 6301010838 (Michigan) | Primary |
| Provider Name | Ruth A Westfall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558438689 PECOS PAC ID: 4486680105 Enrollment ID: I20050714000228 |
| Provider Name | Paula R Kanaan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558608729 PECOS PAC ID: 8325278104 Enrollment ID: I20140221000952 |
| Provider Name | Stacey M Coon-ballard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902233430 PECOS PAC ID: 7416188719 Enrollment ID: I20140331001164 |
| Provider Name | Jennifer L Austin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710391347 PECOS PAC ID: 8224349543 Enrollment ID: I20150612000990 |
| Provider Name | Heidi R Hall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992132591 PECOS PAC ID: 0345551529 Enrollment ID: I20150615000426 |
| Provider Name | Jane Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770956278 PECOS PAC ID: 5193035491 Enrollment ID: I20151116002138 |
| Provider Name | Paula Andrasi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336683317 PECOS PAC ID: 2365704665 Enrollment ID: I20180327000653 |
| Provider Name | Alyss Salas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154049575 PECOS PAC ID: 9830573062 Enrollment ID: I20220907001190 |
| Provider Name | Kelly Touchtone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467029306 PECOS PAC ID: 9931575792 Enrollment ID: I20221019000999 |
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