Balance And Bloom Therapy, Llc | |
104 N Airline Hwy Ste 208 Gonzales LA 70737-3023 | |
(985) 789-5521 | |
Not Available |
Full Name | Balance And Bloom Therapy, Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 104 N Airline Hwy Ste 208, Gonzales, Louisiana |
Authorized Official Name and Position | Manda Shae Brown (OWNER) |
Authorized Official Contact | 9857895521 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Balance And Bloom Therapy, Llc 104 N Airline Hwy Ste 208 Gonzales LA 70737-3023 Ph: () - | Balance And Bloom Therapy, Llc 104 N Airline Hwy Ste 208 Gonzales LA 70737-3023 Ph: (985) 789-5521 |
NPI Number | 1174229157 |
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Provider Enumeration Date | 02/01/2023 |
Last Update Date | 02/01/2023 |
Certification Date | 02/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174229157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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