Healthcare Provider Details

I. General information

NPI: 1801743091
Provider Name (Legal Business Name): PEACE AND BALANCE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

664 PROSPECT AVE OFC 300
HARTFORD CT
06105-4255
US

IV. Provider business mailing address

16 FIELD DR
SIMSBURY CT
06070-1208
US

V. Phone/Fax

Practice location:
  • Phone: 860-810-5353
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: GREGORY GANCI
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 860-810-5353