Organization
CREATING BALANCE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NELSON LPC (OWNER)
(860) 538-5858
Entity
Organization
Contact information
Practice address
49 BROAD ST STE 2, PLAINVILLE, CT 06062-4201
(475) 285-0928
Mailing address
420 N MAIN ST, BRISTOL, CT 06010-4923
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
05/12/2023
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