MEDICARE: HEALING & BALANCE THERAPEUTIC SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	104100000X	Social Worker
3	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1487347100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING & BALANCE THERAPEUTIC SERVICES

Provider Business Mailing Address
First Line	:	6505 N UBER ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19138-3106
Country	:	US
Telephone Number	:	215-500-2363
Fax Number	:

Provider Business Practice Location Address
First Line	:	1216 N FRONT ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19122-4661
Country	:	US
Telephone Number	:	856-295-1480
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	SHERITA HUGHES
Credential	:	LCSW
Telephone Number	:	856-295-1480

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	02/26/2025

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