| The Balanced Lifestyle Grp., Llc | |
|
1721 Dana Ave Cincinnati OH 45207-1138 | |
| (513) 731-4004 | |
| (513) 731-4005 |
| Full Name | The Balanced Lifestyle Grp., Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1721 Dana Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Constance L. Bates (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5137314909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Balanced Lifestyle Grp., Llc 1721 Dana Ave Cincinnati OH 45207-1138 Ph: (513) 731-4004 | The Balanced Lifestyle Grp., Llc 1721 Dana Ave Cincinnati OH 45207-1138 Ph: (513) 731-4004 |
| NPI Number | 1508004664 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 01/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508004664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I 0600003 (Ohio) | Primary |
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