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General NPI Number Information
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NPI Number | 1548033293
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Entity Type | Organization
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Legal Business Name | BALANCE & BEING COUNSELING AND SERVICES, LLC
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Dates
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Enumeration Date | 11/03/2023
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 11967 SWAN VIEW DR
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City | BROOKLYN
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State | MI
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Zip | 49230-8527
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Country | US
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Telephone | 517-358-9992
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Fax |
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Provider Business Mailing Address
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Address Line | 11967 SWAN VIEW DR
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City | BROOKLYN
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State | MI
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Zip | 49230-8527
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Country | US
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Telephone | 517-358-9992
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Fax |
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Authorized Official
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Title or Position | ORGINIZER
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Name | ERIKA VAN POPPEL
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Credential | LPC
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Telephone | 517-358-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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