Organization
HAWTHORN HIVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI LYN DE BOER LPC, ATR, RYT (OWNER - SOLE PROPRIETOR LLC)
(231) 590-8650
Entity
Organization
Contact information
Practice address
1212 VETERANS DR STE 206, TRAVERSE CITY, MI 49684-4734
(231) 590-8650
(231) 642-9101
Mailing address
PO BOX 6463, TRAVERSE CITY, MI 49696-6463
(231) 590-8650
(231) 642-9101
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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