Organization
BALANCE AND THRIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE CELIA ROSATO MA, LPC (OWNER)
(201) 612-2355
Entity
Organization
Contact information
Practice address
61 N MAPLE AVE, (202), RIDGEWOOD, NJ 07450-3255
(201) 444-8110
Mailing address
61 N MAPLE AVE, RIDGEWOOD, NJ 07450-3255
(201) 444-8110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC0067100
NJ
1041C0700X
Clinical Social Worker
44SC05422300
NJ
1041C0700X
Clinical Social Worker
44SC05477700
NJ
133V00000X
Registered Dietitian
—
NJ
Other
Enumeration date
10/24/2011
Last updated
11/21/2011
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