Mindfully Balanced Therapy Pllc

LBN: Mindfully Balanced Therapy Pllc
Mindfully Balanced Therapy Pllc is an health care organization with primary practice located at 10020 Monroe Rd Ste 170-228 , Matthews NC 28105-5485. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Mindfully Balanced Therapy Pllc can be contacted via phone (847) 447-2919, or through Hagar, Kimberleigh via phone (847) 447-2919.

Contact Information

Primary practice address
10020 Monroe Rd Ste 170-228 Matthews NC 28105-5485
Phone: (847) 447-2919
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hagar, Kimberleigh Licensed Clinical Social Worker (LCSW)
Phone: (847) 447-2919

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1457937989
LBN Legal business name Mindfully Balanced Therapy Pllc
DBA Doing business as
Authorized official Hagar, Kimberleigh Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2021
Last updated Apr 6th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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