Organization
BALANCE THERAPY LLC
Active
Other names
Balance Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MYRIAM LILIANA LILIANA BERMUDEZ LPC (OWNER)
(210) 793-3311
Entity
Organization
Contact information
Practice address
16914 SILVERWOOD DR, SAN ANTONIO, TX 78232-2321
(210) 793-3311
Mailing address
16914 SILVERWOOD DR, SAN ANTONIO, TX 78232-2321
(210) 793-3311
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952044612
LPC
TX
Enumeration date
10/13/2023
Last updated
10/16/2023
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