Organization
BALANCED LIVING THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA AVERY LCSW (OWNER)
(203) 645-3887
Entity
Organization
Contact information
Practice address
142 RAMSDELL ST, NEW HAVEN, CT 06515-1614
(203) 645-3887
Mailing address
142 RAMSDELL ST, NEW HAVEN, CT 06515-1614
(203) 645-3887
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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