Organization
TRAILBLAZER FAMILY COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE NICOLE PENWELL LPC, NCC (OWNER)
(615) 630-0550
Entity
Organization
Contact information
Practice address
950 E ARKONA RD, MILAN, MI 48160-9770
(615) 630-0550
Mailing address
516 IDEAL ST, MILAN, MI 48160-1415
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/26/2025
Last updated
07/26/2025
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