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General NPI Number Information
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NPI Number | 1619585916
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Entity Type | Organization
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Legal Business Name | BALANCE THERAPY INSTITUTE AND CONSULTING
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 300 S PINE ISLAND RD STE 246A
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City | PLANTATION
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State | FL
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Zip | 33324-2631
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Country | US
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Telephone | 305-303-0677
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Fax |
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Provider Business Mailing Address
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Address Line | 1102 N SANTA CATALINA CIR
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-6310
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Country | US
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Telephone | 305-303-0677
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MICHAELLE DARLEY PIERRE
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Credential | PHD, LMFT, LMHC
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Telephone | 305-303-0677
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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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