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General NPI Number Information
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NPI Number | 1144169061
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Entity Type | Organization
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Legal Business Name | BALANCE THERAPY GROUP PLLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 15 N MAIN ST
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1974
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Country | US
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Telephone | 203-441-5775
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Fax |
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Provider Business Mailing Address
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Address Line | 102 LASALLE RD
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City | WEST HARTFORD
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State | CT
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Zip | 06127-7701
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Country | US
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Telephone | 203-441-5775
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHOEBE RITA
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Credential | LCSW
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Telephone | 860-748-3027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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