| Balancing Act, LLC | |
|
325 S Main St Ste 3 Cheshire CT 06410-3159 | |
| (203) 651-8647 | |
| Not Available |
| Full Name | Balancing Act, LLC |
|---|---|
| Speciality | Counselor |
| Location | 325 S Main St Ste 3, Cheshire, Connecticut |
| Authorized Official Name and Position | Shannon K. Rouse (OWNER) |
| Authorized Official Contact | 2035544054 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balancing Act, LLC 325 S Main St Ste 3 Cheshire CT 06410-3159 Ph: (203) 651-8647 | Balancing Act, LLC 325 S Main St Ste 3 Cheshire CT 06410-3159 Ph: (203) 651-8647 |
| NPI Number | 1982286431 |
|---|---|
| Provider Enumeration Date | 04/24/2021 |
| Last Update Date | 06/04/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 1355789025 |
|---|---|
| Medicare Enrollment ID | O20240402000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982286431 | NPI | - | NPPES |
| Provider Name | Candacy Caesar Heywood |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1255864286 PECOS PAC ID: 6305297755 Enrollment ID: I20240110001084 |
| Provider Name | Shannon Katherine Rouse |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750842555 PECOS PAC ID: 2264870930 Enrollment ID: I20240402000101 |
| Provider Name | Jill D Bukowski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1275130320 PECOS PAC ID: 6204275878 Enrollment ID: I20240416000063 |
| Provider Name | Ashley Beckerman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1619213923 PECOS PAC ID: 9537600317 Enrollment ID: I20240919003127 |
| Provider Name | Tammi Jacob |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306717574 PECOS PAC ID: 0244720902 Enrollment ID: I20260608003320 |
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