Organization
BALANCE AND BLOOM THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDA SHAE BROWN LCSW (OWNER)
(985) 789-5521
Entity
Organization
Contact information
Practice address
104 N AIRLINE HWY STE 208, GONZALES, LA 70737-3023
(985) 789-5521
Mailing address
104 N AIRLINE HWY STE 208, GONZALES, LA 70737-3023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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