Organization
BRIDGE TO BALANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIO MARTELL DAVIS (CEO)
(602) 804-1182
Entity
Organization
Contact information
Practice address
1222 E BASELINE RD STE 103, TEMPE, AZ 85283-1433
(602) 804-1182
Mailing address
1222 E BASELINE RD STE 103, TEMPE, AZ 85283-1433
(602) 804-1182
(602) 804-1182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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