MEDICARE: THE BALANCED ORCHID WELLNESS CENTER LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1568322378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BALANCED ORCHID WELLNESS CENTER LLC

Provider Business Mailing Address
First Line	:	52 CONSOLATION ST
Second Line	:
City	:	BRISTOL
State	:	CT
Zip	:	06010-2220
Country	:	US
Telephone Number	:	860-845-3606
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 MAIN ST FL 2
Second Line	:
City	:	SOUTHINGTON
State	:	CT
Zip	:	06489-2506
Country	:	US
Telephone Number	:	860-573-9992
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YAJAHIRA MENDEZ JOHNSON
Credential	:	LPC
Telephone Number	:	860-573-9992

Provider Enumeration Date	:	11/13/2025
Last Update Date	:	03/31/2026

Similar Medicare Providers

1063985323 — WATERTOWN MEDICAL ASSOCIATES, LLC
Practice Location Address:

170 MAIN ST
SOUTHINGTON, CT
06489-2506

Practice Phone: 203-558-5896
Practice Fax:

1508015306 — DR. MARC PARNESS D.D.S.,MS.D,
Practice Location Address:

100 MAIN ST
SOUTHINGTON, CT
06489-2506

Practice Phone: 860-621-4455
Practice Fax: 860-621-9218

1598263881 — CASSANDRA MARCHEGGIANI, LLC
Practice Location Address:

262 BRISTOL ST FL 1
SOUTHINGTON, CT
06489-4506

Practice Phone: 720-933-1673
Practice Fax:

1376942714 — MRS. CASSANDRA MARCHEGGIANI LCSW
Practice Location Address:

262 BRISTOL ST FL 1
SOUTHINGTON, CT
06489-4506

Practice Phone: 860-799-4545
Practice Fax:

1891626883 — SEAN THOMAS O'REILLY
Practice Location Address:

970 S END RD
SOUTHINGTON, CT
06489-4144

Practice Phone: 860-516-1409
Practice Fax:

1063389898 — HOME SLEEP HEALTH SERVICES
Practice Location Address:

37 W CENTER ST # 1A
SOUTHINGTON, CT
06489-3501

Practice Phone: 844-732-6773
Practice Fax: 844-534-7652

Directions to “THE BALANCED ORCHID WELLNESS CENTER LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.