| Balanced Living Therapy, Llc | |
|
142 Ramsdell St New Haven CT 06515-1614 | |
| (203) 645-3887 | |
| Not Available |
| Full Name | Balanced Living Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 142 Ramsdell St, New Haven, Connecticut |
| Authorized Official Name and Position | Angela Avery (OWNER) |
| Authorized Official Contact | 2036453887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Living Therapy, Llc 142 Ramsdell St New Haven CT 06515-1614 Ph: (203) 645-3887 | Balanced Living Therapy, Llc 142 Ramsdell St New Haven CT 06515-1614 Ph: (203) 645-3887 |
| NPI Number | 1336886704 |
|---|---|
| Provider Enumeration Date | 05/17/2022 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336886704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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