# TRAVERSE BAY COUNSELING & WELLNESS

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

## Provider details

- **NPI number:** 1710397468
- **Authorized official:** JACALYN LASICH LMSW (OWNER/COUNSELOR)
- **Authorized official phone:** (231) 735-2270

## Contact information

- **Practice address:** 3301 VETERANS DR, SUITE 124, TRAVERSE CITY, MI 49684-4574
- **Practice address phone:** (231) 735-2270
- **Mailing address:** 2177 HOLLAND CIR, TRAVERSE CITY, MI 49685-7945
- **Mailing address phone:** (231) 590-4716

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 6801089753 | MI | Yes |

## Other

- **Enumeration date:** 05/03/2014
- **Last updated:** 05/03/2014