Healthcare Provider Details
I. General information
NPI: 1194596890
Provider Name (Legal Business Name): SEEKING BALANCE COUNSELING & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2024
Last Update Date: 01/11/2024
Certification Date: 01/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2631 NW 41ST ST STE E5
GAINESVILLE FL
32606-6689
US
IV. Provider business mailing address
2631 NW 41ST ST STE E5
GAINESVILLE FL
32606-6689
US
V. Phone/Fax
- Phone: 352-354-2144
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MELISSA
LYNN
HAMBLET
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: MSW, LCSW
Phone: 352-354-2144