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General NPI Number Information
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NPI Number | 1053203505
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Entity Type | Organization
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Legal Business Name | BALANCED BEHAVIORAL HEALTH & WELLNESS P.C.
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 512 KENNETT PIKE STE 500
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City | CHADDS FORD
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State | PA
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Zip | 19317-7393
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Country | US
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Telephone | 215-870-6687
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Fax | 610-968-1676
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Provider Business Mailing Address
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Address Line | 512 KENNETT PIKE STE 500
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City | CHADDS FORD
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State | PA
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Zip | 19317-7393
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Country | US
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Telephone | 215-870-6687
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Fax | 610-968-1676
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK ANTHONY NOVITSKY JR.
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Credential | MD
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Telephone | 215-870-6687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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