MEDICARE: WELLNESS HAVEN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1124709308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLNESS HAVEN LLC

Provider Business Mailing Address
First Line	:	5124 BIRCH AVE
Second Line	:
City	:	LEXINGTON
State	:	MI
Zip	:	48450-9261
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7285 LAKESHORE RD
Second Line	:
City	:	LEXINGTON
State	:	MI
Zip	:	48450-9772
Country	:	US
Telephone Number	:	810-300-9465
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PROFESSIONAL COUNSELOR
Name	:	KORTNEY BALL
Credential	:	L.P.C., S.C.L.
Telephone Number	:	810-300-9465

Provider Enumeration Date	:	07/31/2023
Last Update Date	:	08/08/2023

Similar Medicare Providers

1720765985 — KORTNEY BALL L.P.C., S.C.L.
Practice Location Address:

7285 LAKESHORE RD
LEXINGTON, MI
48450-9772

Practice Phone: 810-300-9465
Practice Fax:

1972758902 — TIFFANY RENEE HAMBEL LPN
Practice Location Address:

10112 STATE ROUTE 37 E
NEW LEXINGTON, OH
43764-9772

Practice Phone: 740-343-5505
Practice Fax:

1831046457 — PAUL MICHAEL MCINTYRE
Practice Location Address:

8032 LAKESHORE RD
LEXINGTON, MI
48450-9719

Practice Phone: 810-201-4987
Practice Fax:

1093707101 — FRANK P PILATO PAC
Practice Location Address:

5730 MAIN ST
LEXINGTON, MI
48450-8800

Practice Phone: 810-359-2605
Practice Fax: 810-359-2748

1790743201 — MRS. ANITA KING PT
Practice Location Address:

5590 MAIN ST , SUITE 4
LEXINGTON, MI
48450-9383

Practice Phone: 810-359-8700
Practice Fax:

1285668863 — DR. JACQUELINE MICHELLE SCARBROUGH O.D.
Practice Location Address:

5590 MAIN ST. , SUITE 1
LEXINGTON, MI
48450

Practice Phone: 810-359-2020
Practice Fax:

Directions to “WELLNESS HAVEN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.