Organization
BALANCED FAMILY WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA SHORT MA, LLPC (COUNSELOR)
(231) 313-0773
Entity
Organization
Contact information
Practice address
1200 W 11TH ST, SUITE 215, TRAVERSE CITY, MI 49684-3287
(231) 313-0773
Mailing address
1200 W 11TH ST, SUITE 215, TRAVERSE CITY, MI 49684-3287
(231) 313-0773
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6401014304
MI
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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