Organization
ADVANCE BALANCE ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YILIAN J MONTES DE OCA LMHC (DIRECTOR)
(772) 607-1008
Entity
Organization
Contact information
Practice address
6044 NW WOLVERINE ROAD, PORT ST LUCIE, FL 34986
(772) 607-1008
Mailing address
1729 NW SAINT LUCIE WEST BLVD # 1275, PORT ST LUCIE, FL 34986-2501
(772) 607-1008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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