Organization
BALANCED LIFE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GISSELLE DIAZ ROIG LCSW (THERAPIST)
(813) 755-2078
Entity
Organization
Contact information
Practice address
220 W BRANDON BLVD STE 203, BRANDON, FL 33511-5100
(813) 755-2078
Mailing address
1315 OAKFIELD DRIVE, PO BOX 329, BRANDON, FL 33509
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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