| Kaili Ball Counseling, Llc | |
|
2450 44th St Se Ste 302 Kentwood MI 49512-9081 | |
| (616) 805-9738 | |
| Not Available |
| Full Name | Kaili Ball Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2450 44th St Se Ste 302, Kentwood, Michigan |
| Authorized Official Name and Position | Kaili Ball (OWNER) |
| Authorized Official Contact | 6164901437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaili Ball Counseling, Llc 9191 Walnut Grove Dr Ne Rockford MI 49341-8370 Ph: (616) 490-1437 | Kaili Ball Counseling, Llc 2450 44th St Se Ste 302 Kentwood MI 49512-9081 Ph: (616) 805-9738 |
| NPI Number | 1750137675 |
|---|---|
| Provider Enumeration Date | 04/30/2024 |
| Last Update Date | 04/30/2024 |
| Certification Date | 04/30/2024 |
| Medicare PECOS PAC ID | 9739521097 |
|---|---|
| Medicare Enrollment ID | O20240531002190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750137675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kaili D Ball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184011207 PECOS PAC ID: 7618241712 Enrollment ID: I20170927002542 |
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