| Balanced Mind Lcsw | |
|
1125 45th Ave Apt 3b Long Island City NY 11101-5176 | |
| (818) 642-1349 | |
| Not Available |
| Full Name | Balanced Mind Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1125 45th Ave Apt 3b, Long Island City, New York |
| Authorized Official Name and Position | Grace Higa (CLINICIAN) |
| Authorized Official Contact | 8186421349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Mind Lcsw 1125 45th Ave Apt 3b Long Island City NY 11101-5176 Ph: (818) 642-1349 | Balanced Mind Lcsw 1125 45th Ave Apt 3b Long Island City NY 11101-5176 Ph: (818) 642-1349 |
| NPI Number | 1134909922 |
|---|---|
| Provider Enumeration Date | 09/29/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134909922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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