| Balance Therapeutic Care, Counseling Services Llc | |
|
901 Beauty Ave Bowling Green KY 42101-6135 | |
| (270) 599-1034 | |
| (270) 599-1035 |
| Full Name | Balance Therapeutic Care, Counseling Services Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 901 Beauty Ave, Bowling Green, Kentucky |
| Authorized Official Name and Position | Cynthia Martice Mackey (OWNER) |
| Authorized Official Contact | 2705991034 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Therapeutic Care, Counseling Services Llc 661 A 31-w Bypass Bowling Green KY 42101 Ph: (270) 599-1034 | Balance Therapeutic Care, Counseling Services Llc 901 Beauty Ave Bowling Green KY 42101-6135 Ph: (270) 599-1034 |
| NPI Number | 1841756525 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841756525 | NPI | - | NPPES |
| 7100418070 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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