NPI: 1821312596
Provider Name: SPRINGSIDE SOULUTIONS L.L.C.
Former Legal Business Name: ROBERT B. RAETZ MA, LPC
Classification: Counselor - 101YP2500X
Entity Type: Organization
Specialization: Professional
Address:
902 W. FRONT STREET
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 645-8500
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SPRINGSIDE SOULUTIONS L.L.C. is a professional counselor in Traverse City, MI. SPRINGSIDE SOULUTIONS L.L.C. NPI is 1821312596. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Robert B. Raetz Ma, Lpc.
The provider's business location address is:
902 W. FRONT STREET
TRAVERSE CITY, MI
ZIP 49684
Phone: (231) 645-8500
Fax: (231) 825-8375
The provider's authorized official is Robert Burke Raetz .
The authorized official title is Owner and has the following contact phone number (231) 645-8500.
The enumeration date for this NPI number is 3/24/2010 and was last updated on 3/24/2010.