| Core Balance Counseling, Llc | |
|
2509 S Power Rd Ste 110 Mesa AZ 85209-6696 | |
| (480) 590-4227 | |
| Not Available |
| Full Name | Core Balance Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2509 S Power Rd Ste 110, Mesa, Arizona |
| Authorized Official Name and Position | Julia Cruz Spain (SOLE MEMBER) |
| Authorized Official Contact | 6026971023 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Balance Counseling, Llc 2509 S Power Rd Ste 110 Mesa AZ 85209-6696 Ph: (480) 590-4227 | Core Balance Counseling, Llc 2509 S Power Rd Ste 110 Mesa AZ 85209-6696 Ph: (480) 590-4227 |
| NPI Number | 1942987821 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 1951746650 |
|---|---|
| Medicare Enrollment ID | O20240305000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942987821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Julia Cruz Spain |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205932936 PECOS PAC ID: 2860837564 Enrollment ID: I20240305000238 |
| Provider Name | Andrea Khalife |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336806199 PECOS PAC ID: 7012353766 Enrollment ID: I20240315002620 |
| Provider Name | William David Tafaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932675717 PECOS PAC ID: 3173960648 Enrollment ID: I20240319003398 |
| Provider Name | Natalie Martin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598334765 PECOS PAC ID: 7012354145 Enrollment ID: I20240325001361 |
| Provider Name | Stacy Marie Bliss-lefebvre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447867858 PECOS PAC ID: 1052759479 Enrollment ID: I20240404001863 |
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