Healthcare Provider Details

I. General information

NPI: 1184297475
Provider Name (Legal Business Name): BALANCE POINT WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 EMMORTON RD STE 201
BEL AIR MD
21015-6180
US

IV. Provider business mailing address

5820 YORK RD STE 201
BALTIMORE MD
21212-3620
US

V. Phone/Fax

Practice location:
  • Phone: 410-800-2169
  • Fax:
Mailing address:
  • Phone: 410-812-5871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: BRANDI TANASESCU
Title or Position: CFO
Credential:
Phone: 410-800-2169