Kathy Ballard Behavioral Health Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801059263 Issued in MI

Legal business name

KATHY BALLARD BEHAVIORAL HEALTH SERVICES LLC

Practice address

405 Newberry Avenue
Newberry, MI 49868

Phone

(906) 293-1982

Fax

(906) 293-1982

NPI assigned

Sep 6, 2009

Last updated

Oct 29, 2009By 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

Kathy R Ballard, ACSW LLC

Title

Sole Proprietor

Phone

(906) 293-1982

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1252195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256774400000",
    "number": "1700119989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44",
            "address_2": "405 NEWBERRY AVENUE",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "49868",
            "telephone_number": "906-293-1982",
            "fax_number": "906-293-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NEWBERRY AVENUE",
            "city": "NEWBERRY",
            "state": "MI",
            "postal_code": "49868",
            "telephone_number": "906-293-1982",
            "fax_number": "906-293-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY BALLARD BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-06",
        "last_updated": "2009-10-29",
        "status": "A",
        "authorized_official_last_name": "BALLARD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "906-293-1982",
        "authorized_official_credential": "ACSW LLC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801059263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagannathan Neurosurgical Institute PLLC
• Joseph Thomas Jankowski, PA-C
• Anne Johnson, LLC
• Michael D Johnson, PA
• Raymond J Juliano, CRNA
• Eric Steven Laroue, D.D.S.
• Luce-Mackinac District Health Department
• Luce-Mackinac Health Department
• Luce-Mackinac Health Department
• Luce-Mackinac Health Department

• Clinical Social Worker in Newberry, MI
• Providers in Newberry, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.