Healthcare Provider Details

I. General information

NPI: 1700085750
Provider Name (Legal Business Name): BALANCED ENERGY PARTNERSHIP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 HIGHLAND AVE
CHESHIRE CT
06410-2255
US

IV. Provider business mailing address

555 HIGHLAND AVE
CHESHIRE CT
06410-2255
US

V. Phone/Fax

Practice location:
  • Phone: 203-213-2500
  • Fax:
Mailing address:
  • Phone: 203-213-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GRETCHEN STARK WENT
Title or Position: PARTNER
Credential: M.S.W.
Phone: 203-464-1249