Center For Balanced Living | |
5879 Summit Bridge Rd Townsend DE 19734-9375 | |
(302) 608-3780 | |
(302) 355-3226 |
Full Name | Center For Balanced Living |
---|---|
Speciality | Psychologist |
Location | 5879 Summit Bridge Rd, Townsend, Delaware |
Authorized Official Name and Position | Angela Serravalle (OWNER/PROVIDER) |
Authorized Official Contact | 3028243722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Center For Balanced Living 5879 Summit Bridge Rd Townsend DE 19734-9375 Ph: (302) 608-3780 | Center For Balanced Living 5879 Summit Bridge Rd Townsend DE 19734-9375 Ph: (302) 608-3780 |
NPI Number | 1962179689 |
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Provider Enumeration Date | 08/30/2021 |
Last Update Date | 01/10/2024 |
Certification Date | 01/09/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962179689 | NPI | - | NPPES |
250741282 | Medicaid | DE | |
PC-0000607 | Other | DE | LICENSED PROFESSIONAL COUNSELOR OF MENTAL HEALTH |
B1-0011250 | Other | DE | LICENSED PSYCHOLOGIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | (* (Not Available)) | Primary |
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