| Create Balance, Llc | |
|
155 Park Ave Ste 21 Cranston RI 02905-2627 | |
| (401) 753-4325 | |
| Not Available |
| Full Name | Create Balance, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 155 Park Ave Ste 21, Cranston, Rhode Island |
| Authorized Official Name and Position | Kerri Weaver (OWNER/ LMHC) |
| Authorized Official Contact | 4014474587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Create Balance, Llc 155 Park Ave Ste 21 Cranston RI 02905-2627 Ph: () - | Create Balance, Llc 155 Park Ave Ste 21 Cranston RI 02905-2627 Ph: (401) 753-4325 |
| NPI Number | 1134759871 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134759871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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