| Hawthorn Hive Llc | |
|
1212 Veterans Dr Ste 206 Traverse City MI 49684-4734 | |
| (231) 590-8650 | |
| (231) 642-9101 |
| Full Name | Hawthorn Hive Llc |
|---|---|
| Speciality | Counselor |
| Location | 1212 Veterans Dr Ste 206, Traverse City, Michigan |
| Authorized Official Name and Position | Kari Lyn De Boer (OWNER - SOLE PROPRIETOR LLC) |
| Authorized Official Contact | 2315908650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawthorn Hive Llc Po Box 6463 Traverse City MI 49696-6463 Ph: (231) 590-8650 | Hawthorn Hive Llc 1212 Veterans Dr Ste 206 Traverse City MI 49684-4734 Ph: (231) 590-8650 |
| NPI Number | 1932825981 |
|---|---|
| Provider Enumeration Date | 10/12/2022 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932825981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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