Provider Information for 1407196439
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HELEMA BALLARD LPC
Sex: Female
NPI: 1407196439
Last Updated: 2024-04-08
Certification Date: 2024-04-08
Certification Date: 2024-04-08
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1407196439 | ||||||||||||
| Enumeration Date | 2013-02-28 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 6549 TOWN CENTER DR STE A CLARKSTON, MI 48346-4824 United States Phone: 800-395-3223 | Fax:586-627-0027 | ||||||||||||
| Primary Practice Address | 8150 OLD 13 MILE RD WARREN, MI 48093-8700 United States Phone: 800-395-3223 | Fax:248-620-6405 | ||||||||||||
| Secondary Practice Address(es) | 175 N GROESBECK HWY | ||||||||||||
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