| Balansera Therapy Group | |
|
433 Cody Dr Orange Park FL 32073-4214 | |
| (724) 622-9155 | |
| Not Available |
| Full Name | Balansera Therapy Group |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 433 Cody Dr, Orange Park, Florida |
| Authorized Official Name and Position | Sadie E Schultheis (OWNER) |
| Authorized Official Contact | 7246229155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balansera Therapy Group 6501 Arlington Expressway B105 #2009 Jacksonville FL 32211 Ph: (724) 622-9155 | Balansera Therapy Group 433 Cody Dr Orange Park FL 32073-4214 Ph: (724) 622-9155 |
| NPI Number | 1912644865 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 05/12/2022 |
| Certification Date | 05/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912644865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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