| Creating Balance Therapy LLC | |
|
49 Broad St Ste 2 Plainville CT 06062-4201 | |
| (475) 285-0928 | |
| Not Available |
| Full Name | Creating Balance Therapy LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 49 Broad St Ste 2, Plainville, Connecticut |
| Authorized Official Name and Position | Lisa Nelson (OWNER) |
| Authorized Official Contact | 8605385858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Balance Therapy LLC 420 N Main St Bristol CT 06010-4923 | Creating Balance Therapy LLC 49 Broad St Ste 2 Plainville CT 06062-4201 Ph: (475) 285-0928 |
| NPI Number | 1467193573 |
|---|---|
| Provider Enumeration Date | 04/05/2022 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467193573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
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