Organization
BALANCED BEING PSYCHOTHERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D PRUITT LMSW (PSYCHOTHERAPIST)
(734) 431-2166
Entity
Organization
Contact information
Practice address
904 HAWTHORNE AVE, YPSILANTI, MI 48198-5812
(734) 431-2166
Mailing address
904 HAWTHORNE AVE, YPSILANTI, MI 48198-5812
(734) 431-2166
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
03/07/2024
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