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Contact Information

KATHY BALLARD BEHAVIORAL HEALTH SERVICES LLC
405 NEWBERRY AVENUE
NEWBERRY, MI49868
 Phone: 906-293-1982
 Fax: 906-293-1982
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for KATHY BALLARD BEHAVIORAL HEALTH SERVICES LLC

NPI Number 1700119989
LBN Legal business name KATHY BALLARD BEHAVIORAL HEALTH SERVICES LLC
Authorized official KATHY BALLARD - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2009
Last updated 10/29/2009 - About 17 years ago
Identifiers
MI License # 6801059263
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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