MEDICARE: TRUE BALANCE COUNSELING, PLLC

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	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1629885900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUE BALANCE COUNSELING, PLLC

Provider Business Mailing Address
First Line	:	4624 GALL BLVD STE 7
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-6237
Country	:	US
Telephone Number	:	813-862-1828
Fax Number	:	813-862-1898

Provider Business Practice Location Address
First Line	:	4624 GALL BLVD STE 7
Second Line	:
City	:	ZEPHYRHILLS
State	:	FL
Zip	:	33542-6237
Country	:	US
Telephone Number	:	813-862-1929
Fax Number	:	813-862-1989

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	MS. MICHELLE L WHITE
Credential	:	LMHC
Telephone Number	:	813-862-1929

Provider Enumeration Date	:	12/11/2024
Last Update Date	:	12/11/2024

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