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Organization
BALANCE MENTAL HEALTH & WELLNESS PC
Active
Organization
BALANCE MENTAL HEALTH & WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE FOX LMSW (OWNER)
(989) 915-2808
Entity
Organization
Contact information
Practice address
3386 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651-9700
(989) 312-1800
Mailing address
PO BOX 927, PRUDENVILLE, MI 48651-0927
(989) 312-1800
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790178283
—
MI
Enumeration date
08/23/2022
Last updated
09/27/2022
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