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Organization
BALANCED PSYCH., CORP
Active
Organization
BALANCED PSYCH., CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA RUIZ-MATAMOROS LMHC (PRESIDENT)
(786) 261-5924
Entity
Organization
Contact information
Practice address
13901 SW 152ND CT, MIAMI, FL 33196-5017
(786) 261-5924
Mailing address
13901 SW 152ND CT, MIAMI, FL 33196-5017
(786) 261-5924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9609
FL
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017981500
—
FL
Enumeration date
02/24/2017
Last updated
02/24/2017
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