Organization
BALANCED WELLNESS PSYCHOTHERAPY LCSW PLLC
Active
Organization
BALANCED WELLNESS PSYCHOTHERAPY LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINNETTA A DE LA CRUZ (CLINICAL DIRECTOR)
(917) 524-9667
Entity
Organization
Contact information
Practice address
125 E 23RD ST STE 403-2, NEW YORK, NY 10010-4511
(917) 524-9667
Mailing address
418 BROADWAY STE R, ALBANY, NY 12207-2922
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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