Organization
WELLNESS HAVEN LLC
Active
Other names
Pathways for Growth & Emotional Wellness - Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
KORTNEY BALL L.P.C., S.C.L. (OWNER/PROFESSIONAL COUNSELOR)
(810) 300-9465
Entity
Organization
Contact information
Practice address
7285 LAKESHORE RD, LEXINGTON, MI 48450-9772
(810) 300-9465
Mailing address
5124 BIRCH AVE, LEXINGTON, MI 48450-9261
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
07/31/2023
Last updated
08/08/2023
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