| Balance Mental Health & Wellness Pc | |
|
3386 W Houghton Lake Dr Prudenville MI 48651-9700 | |
| (989) 312-1800 | |
| Not Available |
| Full Name | Balance Mental Health & Wellness Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3386 W Houghton Lake Dr, Prudenville, Michigan |
| Authorized Official Name and Position | Danielle Fox (OWNER) |
| Authorized Official Contact | 9899152808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Mental Health & Wellness Pc Po Box 927 Prudenville MI 48651-0927 Ph: (989) 312-1800 | Balance Mental Health & Wellness Pc 3386 W Houghton Lake Dr Prudenville MI 48651-9700 Ph: (989) 312-1800 |
| NPI Number | 1629797857 |
|---|---|
| Provider Enumeration Date | 08/23/2022 |
| Last Update Date | 09/27/2022 |
| Certification Date | 09/27/2022 |
| Medicare PECOS PAC ID | 2668847278 |
|---|---|
| Medicare Enrollment ID | O20230413001275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629797857 | NPI | - | NPPES |
| 1790178283 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Holly J Harris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427113778 PECOS PAC ID: 4880725464 Enrollment ID: I20100625000310 |
| Provider Name | Danielle Cristine Fox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790178283 PECOS PAC ID: 3870970528 Enrollment ID: I20230413001325 |
| Provider Name | Kristine Goodroe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245621853 PECOS PAC ID: 4183068968 Enrollment ID: I20240220003411 |
Mhsn Primary Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 | |
Mhsn Primary Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 | |
Mhsn Primary Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 | |
Prudenville Community Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2585 W Houghton Lake Dr, Prudenville, MI 48651 Phone: 989-366-2900 |