Inner-balance Therapy Pllc | |
4669 N Commerce Dr Ste 4a Sierra Vista AZ 85635 | |
(520) 255-1421 | |
Not Available |
Full Name | Inner-balance Therapy Pllc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 4669 N Commerce Dr Ste 4a, Sierra Vista, Arizona |
Authorized Official Name and Position | Brooke Reynolds (OWNER/DIRECTOR/PROVIDER) |
Authorized Official Contact | 5202551421 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Inner-balance Therapy Pllc P.o. Box 1716 Sierra Vista AZ 85636-1716 Ph: (520) 255-1421 | Inner-balance Therapy Pllc 4669 N Commerce Dr Ste 4a Sierra Vista AZ 85635 Ph: (520) 255-1421 |
NPI Number | 1477281681 |
---|---|
Provider Enumeration Date | 08/15/2022 |
Last Update Date | 07/12/2024 |
Certification Date | 09/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477281681 | NPI | - | NPPES |
228604 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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