| Balanced Living Therapy | |
|
91 Tappan Ave Belleville NJ 07109-2661 | |
| (551) 221-4165 | |
| Not Available |
| Full Name | Balanced Living Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 91 Tappan Ave, Belleville, New Jersey |
| Authorized Official Name and Position | Imaan Ramjan (OWNER) |
| Authorized Official Contact | 9733064186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Living Therapy 91 Tappan Ave Belleville NJ 07109-2661 Ph: (551) 221-4165 | Balanced Living Therapy 91 Tappan Ave Belleville NJ 07109-2661 Ph: (551) 221-4165 |
| NPI Number | 1801457346 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801457346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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