| Balanced Mind Clinical Services, Lcsw, Pllc | |
|
2510 Chili Ave Ste 5 Rochester NY 14624-3334 | |
| (585) 406-3151 | |
| Not Available |
| Full Name | Balanced Mind Clinical Services, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2510 Chili Ave Ste 5, Rochester, New York |
| Authorized Official Name and Position | Andrea Witter (OWNER) |
| Authorized Official Contact | 5854063151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Mind Clinical Services, Lcsw, Pllc 2510 Chili Ave Ste 5 Rochester NY 14624-3334 Ph: () - | Balanced Mind Clinical Services, Lcsw, Pllc 2510 Chili Ave Ste 5 Rochester NY 14624-3334 Ph: (585) 406-3151 |
| NPI Number | 1760254965 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Certification Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760254965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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