Organization
MINDFUL BALANCE THERAPY CENTER P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON VIOLET CAREY LMFT (MANAGER)
(603) 903-1414
Entity
Organization
Contact information
Practice address
63 EMERALD ST # 102, KEENE, NH 03431-3626
(603) 903-1414
(833) 693-0222
Mailing address
63 EMERALD ST # 102, KEENE, NH 03431-3626
(603) 903-1414
(833) 693-0222
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100005
—
NH
Enumeration date
10/22/2014
Last updated
11/09/2020
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