Wellness Haven LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

WELLNESS HAVEN LLC

Doing business as

Pathways for Growth & Emotional Wellness - Counseling Services

Practice address

7285 Lakeshore Rd
Lexington, MI 48450-9772

Phone

(810) 300-9465

NPI assigned

Jul 31, 2023

Last updated

Aug 8, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kortney Ball, L.P.C., S.C.L.NPI 1720765985

Title

Owner/Professional Counselor

Phone

(810) 300-9465

Specialties & licenses 2

Addresses

Other names 1

• Pathways for Growth & Emotional Wellness - Counseling Services Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kortney Ball, L.P.C., S.C.L.

  • Mental Health Counselor
  • Lexington, MI
  • NPI 1720765985
  NPD Authorized official
• Amanda Brown

  • Other Technician
  • Farmington Hills, MI
  • NPI 1427408533

  Counselor

  NPD (past)
• Victoria Simon, MA, LMSW

  • Mental Health Counselor
  • Port Sanilac, MI
  • NPI 1992175368
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1124709308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 BIRCH AVE",
            "city": "LEXINGTON",
            "state": "MI",
            "postal_code": "484509261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7285 LAKESHORE RD",
            "city": "LEXINGTON",
            "state": "MI",
            "postal_code": "484509772",
            "telephone_number": "810-300-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "KORTNEY",
        "authorized_official_title_or_position": "OWNER/PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "810-300-9465",
        "authorized_official_credential": "L.P.C., S.C.L."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways for Growth & Emotional Wellness - Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pathways for Growth & Emotional Wellness - Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Felicity Vinton
• Kelsey Paige Vonanderseck
• Julia Kate Walker
• Watson Manor, Inc.
• Kristi Watson, RPH
• McKenzie Renee Woodruff
• Brandon Scott Worobi, BT
• Madison Kaye Zavala

• Counselor in Lexington, MI
• Providers in Lexington, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.