| Balance Therapy Llc | |
|
16914 Silverwood Dr San Antonio TX 78232-2321 | |
| (210) 793-3311 | |
| Not Available |
| Full Name | Balance Therapy Llc |
|---|---|
| Speciality | Counselor |
| Location | 16914 Silverwood Dr, San Antonio, Texas |
| Authorized Official Name and Position | Myriam Liliana Liliana Bermudez (OWNER) |
| Authorized Official Contact | 2107933311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Therapy Llc 16914 Silverwood Dr San Antonio TX 78232-2321 Ph: (210) 793-3311 | Balance Therapy Llc 16914 Silverwood Dr San Antonio TX 78232-2321 Ph: (210) 793-3311 |
| NPI Number | 1568243624 |
|---|---|
| Provider Enumeration Date | 10/13/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Medicare PECOS PAC ID | 8224481338 |
|---|---|
| Medicare Enrollment ID | O20240125000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568243624 | NPI | - | NPPES |
| 1952044612 | Other | TX | LPC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Myriam Liliana Bermudez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952044612 PECOS PAC ID: 0042663155 Enrollment ID: I20240125000516 |
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