# BALANCED FAMILY WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396126405
- **Authorized official:** TRISHA SHORT MA, LLPC (COUNSELOR)
- **Authorized official phone:** (231) 313-0773

## Contact information

- **Practice address:** 1200 W 11TH ST, SUITE 215, TRAVERSE CITY, MI 49684-3287
- **Practice address phone:** (231) 313-0773
- **Mailing address:** 1200 W 11TH ST, SUITE 215, TRAVERSE CITY, MI 49684-3287
- **Mailing address phone:** (231) 313-0773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 6401014304 | MI | Yes |

## Other

- **Enumeration date:** 06/15/2015
- **Last updated:** 06/15/2015