Healthcare Provider Details

I. General information

NPI: 1699637264
Provider Name (Legal Business Name): BALANCE WITHIN THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 BLUE HILLS AVE
BLOOMFIELD CT
06002-1929
US

IV. Provider business mailing address

268 POST RD STE 200
FAIRFIELD CT
06824-6220
US

V. Phone/Fax

Practice location:
  • Phone: 203-275-9338
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BREANA SWAIN
Title or Position: OWNER
Credential: LICSW
Phone: 203-275-9338