# BLR TRILLIUM SERVICES LLC

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

## Provider details

- **NPI number:** 1528477130
- **Authorized official:** BETH LEE RIDEOUT LBSW (OWNER)
- **Authorized official phone:** (231) 392-4752

## Contact information

- **Practice address:** 2265 WEST CARRIAGE HILL DRIVE, TRAVERSE CITY, MI 49686
- **Practice address phone:** (231) 392-4752
- **Mailing address:** 2265 WEST CARRIAGE HILL DRIVE, TRAVERSE CITY, MI 49686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 6802085446 | MI | Yes |

## Other

- **Enumeration date:** 08/07/2014
- **Last updated:** 08/07/2014