Organization
CREATE BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRI WEAVER LMHC (OWNER/ LMHC)
(401) 447-4587
Entity
Organization
Contact information
Practice address
155 PARK AVE STE 21, CRANSTON, RI 02905-2627
(401) 753-4325
Mailing address
155 PARK AVE STE 21, CRANSTON, RI 02905-2627
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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