Healthcare Provider Details

I. General information

NPI: 1306072236
Provider Name (Legal Business Name): BALANCE POINT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2009
Last Update Date: 09/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4877 MEANDERING CREEK DR NE
BELMONT MI
49306-9662
US

IV. Provider business mailing address

4877 MEANDERING CREEK DR NE
BELMONT MI
49306-9662
US

V. Phone/Fax

Practice location:
  • Phone: 616-874-7014
  • Fax: 616-874-8661
Mailing address:
  • Phone: 616-874-7014
  • Fax: 616-874-8661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number4704075894
License Number StateMI

VIII. Authorized Official

Name: MEGAN M. BRONSON
Title or Position: PSYCHIATRIC MENTAL HEALTH CNS
Credential: PMHCNS-BC
Phone: 616-874-7014