| Balanced Psych., Corp | |
|
13901 Sw 152nd Ct Miami FL 33196-5017 | |
| (786) 261-5924 | |
| Not Available |
| Full Name | Balanced Psych., Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13901 Sw 152nd Ct, Miami, Florida |
| Authorized Official Name and Position | Claudia Ruiz-matamoros (PRESIDENT) |
| Authorized Official Contact | 7862615924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Psych., Corp 13901 Sw 152nd Ct Miami FL 33196-5017 Ph: (786) 261-5924 | Balanced Psych., Corp 13901 Sw 152nd Ct Miami FL 33196-5017 Ph: (786) 261-5924 |
| NPI Number | 1679013650 |
|---|---|
| Provider Enumeration Date | 02/24/2017 |
| Last Update Date | 02/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679013650 | NPI | - | NPPES |
| 017981500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH9609 (Florida) | Primary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
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