Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MODERN BALANCE INTEGRATIVE THERAPY, LLC
Active
Organization
MODERN BALANCE INTEGRATIVE THERAPY, LLC
Active
Parent organization
MODERN BALANCE INTEGRATIVE THERAPY, LLC
Other names
The Modern BIT, Modern Balance Integrative Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MODERN BALANCE INTEGRATIVE THERAPY, LLC
Authorized official
MRS. ALEXANDRA MARTIN COLAIANNI MS, MSW, LCSW (FOUNDER)
(623) 826-2771
Entity
Organization
Contact information
Practice address
589 BEACONSFIELD AVE, NAPERVILLE, IL 60565-4311
(623) 826-2771
Mailing address
589 BEACONSFIELD AVE, NAPERVILLE, IL 60565-4311
(623) 826-2771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up