Healthcare Provider Details

I. General information

NPI: 1144144312
Provider Name (Legal Business Name): BUILDING BALANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3496 WHITNEY AVE STE 202
HAMDEN CT
06518-1973
US

IV. Provider business mailing address

30 DUEL DR
HAMDEN CT
06518-1737
US

V. Phone/Fax

Practice location:
  • Phone: 203-361-8157
  • Fax:
Mailing address:
  • Phone: 203-361-8157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DEIRDRA COLAVOLPE
Title or Position: LCSW,LADC
Credential: LCSW, LADC
Phone: 203-361-8157