Healthcare Provider Details

I. General information

NPI: 1982178265
Provider Name (Legal Business Name): BALANCE MENTAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2019
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 SW 8TH ST STE 209
MIAMI FL
33135-3434
US

IV. Provider business mailing address

1850 SW 8TH ST STE 209
MIAMI FL
33135-3434
US

V. Phone/Fax

Practice location:
  • Phone: 786-858-5393
  • Fax:
Mailing address:
  • Phone: 786-858-5393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELVIRA GOMEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-858-5393