Balanced Family Wellness

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

6401014304 Issued in MI

Legal business name

BALANCED FAMILY WELLNESS

Practice address

1200 W 11TH St
Suite 215
Traverse City, MI 49684-3287

Phone

(231) 313-0773

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Trisha Short, MA, LLPC

Title

Counselor

Phone

(231) 313-0773

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1396126405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W 11TH ST",
            "address_2": "SUITE 215",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843287",
            "telephone_number": "231-313-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W 11TH ST",
            "address_2": "SUITE 215",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496843287",
            "telephone_number": "231-313-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED FAMILY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "231-313-0773",
        "authorized_official_credential": "MA, LLPC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "6401014304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Baker, M.D.
• Nadine Baker, LMSW
• Rebecca Elaine Baker, CPNP
• Robert John Baker, LMSW
• Balance for Self Healing
• Carrie Leah Baldwin
• Joshua B Baldwin, M.P.T.
• Kaitlyn Baldwin, FNP-BC
• Hannah Marie Balicki
• Cheyenne Rose Ballard

• Health Maintenance Organization in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Health Maintenance Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.