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Organization
TRUE BALANCE WELLNESS GROUP
Active
Organization
TRUE BALANCE WELLNESS GROUP
Active
Other names
True Balance Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEYLA MATA LPC (OWNER/THERAPIST)
(201) 397-5662
Entity
Organization
Contact information
Practice address
725 RIVER RD STE 32-249, EDGEWATER, NJ 07020-1171
(201) 397-5662
Mailing address
725 RIVER RD STE 32-249, EDGEWATER, NJ 07020-1171
(201) 397-5662
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366730970
NPPES
NJ
Enumeration date
04/25/2021
Last updated
04/25/2021
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