| Balanced Life Counseling And Wellness, Llc | |
|
3282 Clear Vista Ct Ne Ste B Grand Rapids MI 49525-9766 | |
| (616) 286-1905 | |
| Not Available |
| Full Name | Balanced Life Counseling And Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3282 Clear Vista Ct Ne Ste B, Grand Rapids, Michigan |
| Authorized Official Name and Position | Ashley Troszok (OWNER) |
| Authorized Official Contact | 6162953311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Life Counseling And Wellness, Llc 3282 Clear Vista Ct Ne Ste B Grand Rapids MI 49525-9766 Ph: (616) 286-1905 | Balanced Life Counseling And Wellness, Llc 3282 Clear Vista Ct Ne Ste B Grand Rapids MI 49525-9766 Ph: (616) 286-1905 |
| NPI Number | 1598239295 |
|---|---|
| Provider Enumeration Date | 01/15/2019 |
| Last Update Date | 04/28/2023 |
| Certification Date | 04/28/2023 |
| Medicare PECOS PAC ID | 9335577501 |
|---|---|
| Medicare Enrollment ID | O20200323000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598239295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Marie Troszok |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407324106 PECOS PAC ID: 0244668416 Enrollment ID: I20200323000405 |
| Provider Name | Melanie J Fuentes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609440338 PECOS PAC ID: 0840656393 Enrollment ID: I20231212001914 |
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