Ballard, Traci Denise

Ballard, Traci Denise is an individual health care provider with primary practice located at 79 W Alexandrine St , Detroit MI 48201-2015. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ballard, Traci Denise can be contacted via phone (313) 831-5535.

Contact Information

Primary practice address
79 W Alexandrine St Detroit MI 48201-2015
Phone: (313) 831-5535
Fax: (313) 831-2608
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401016840 Michigan

Profile Details

NPI number 1336695733
LBN Legal business name Ballard, Traci Denise
Credentials MA, MPA, LLPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2016
Last updated Feb 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers