Organization
BALANCE THERAPY SERVICES LLC
Active
Organization
BALANCE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE KUBEC LMSW (OWNER/THERAPIST)
(734) 904-7984
Entity
Organization
Contact information
Practice address
41 WASHINGTON AVE STE 280B, GRAND HAVEN, MI 49417-1390
(734) 904-7984
Mailing address
16242 SUFFOLK DR, SPRING LAKE, MI 49456-1434
(734) 904-7984
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801093935
MI
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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