Healthcare Provider Details

I. General information

NPI: 1962278002
Provider Name (Legal Business Name): GALANCING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2023
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 ROCKSIDE RD STE 315
PARMA OH
44134-2749
US

IV. Provider business mailing address

1440 ROCKSIDE RD STE 315
PARMA OH
44134-2749
US

V. Phone/Fax

Practice location:
  • Phone: 216-906-2085
  • Fax:
Mailing address:
  • Phone: 216-200-6529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMBER MARTIN
Title or Position: OWNER/OPERATOR, THERAPIST
Credential: MS, LPC
Phone: 216-906-2085