Healthcare Provider Details

I. General information

NPI: 1972414118
Provider Name (Legal Business Name): BALANCED LIVING PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 VICARI WAY
LITTLE EGG HARBOR TWP NJ
08087-4026
US

IV. Provider business mailing address

78 VICARI WAY
LITTLE EGG HARBOR TWP NJ
08087-4026
US

V. Phone/Fax

Practice location:
  • Phone: 609-232-2427
  • Fax:
Mailing address:
  • Phone: 609-232-2427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. THERESA STRUNK
Title or Position: OWNER
Credential: PHD
Phone: 609-232-2427