# BALANCED LIFE THERAPY GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275072621
- **Authorized official:** MS. MARIA SCOTTO LMHC (MANAGER)
- **Authorized official phone:** (786) 227-3242

## Contact information

- **Practice address:** 2875 NE 191ST ST, SUITE 700, AVENTURA, FL 33180-2801
- **Practice address phone:** (786) 227-3242
- **Mailing address:** 2875 NE 191ST ST, SUITE 700, AVENTURA, FL 33180-2801
- **Mailing address phone:** (786) 227-3242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | MH11701 | FL | Yes |

## Other

- **Enumeration date:** 02/17/2017
- **Last updated:** 02/17/2017