Provider Demographics
NPI:1093171688
Name:BALDUS, KARLI (LLP, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KARLI
Middle Name:
Last Name:BALDUS
Suffix:
Gender:F
Credentials:LLP, LPC
Other - Prefix:
Other - First Name:KARLI
Other - Middle Name:
Other - Last Name:POHLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1670 HAMPSTEAD DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49445-3515
Mailing Address - Country:US
Mailing Address - Phone:231-343-5641
Mailing Address - Fax:
Practice Address - Street 1:865 OAKRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-4097
Practice Address - Country:US
Practice Address - Phone:231-335-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015138101YM0800X, 101YP2500X
MI6301016518103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103T00000XBehavioral Health & Social Service ProvidersPsychologist