| Eclectic Balance Llc | |
|
1200 High Ridge Rd Humanly Suite - 2nd Floor Stamford CT 06905-1223 | |
| (201) 477-8751 | |
| Not Available |
| Full Name | Eclectic Balance Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1200 High Ridge Rd, Stamford, Connecticut |
| Authorized Official Name and Position | Judith Liu (OWNER/PRESIDENT) |
| Authorized Official Contact | 9143305662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclectic Balance Llc 1200 High Ridge Rd Humanly Suite - 2nd Floor Stamford CT 06905-1223 Ph: (201) 477-8751 | Eclectic Balance Llc 1200 High Ridge Rd Humanly Suite - 2nd Floor Stamford CT 06905-1223 Ph: (201) 477-8751 |
| NPI Number | 1053083147 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053083147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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