Ph Balance Therapeutics

LBN: Ph Balance Therapeutics
Ph Balance Therapeutics is an health care organization with primary practice located at 525 3Rd Ave Ste 211C , Longmont CO 80501-5859. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Ph Balance Therapeutics can be contacted via phone (720) 410-4529, or through Perea-Hickam, Brandon Arthur via phone (720) 410-4529.

Contact Information

Primary practice address
525 3Rd Ave Ste 211C Longmont CO 80501-5859
Phone: (720) 410-4529
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Perea-Hickam, Brandon Arthur PHD, BCBA, MFTC, ADD
Phone: (720) 410-4529

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1467232660
LBN Legal business name Ph Balance Therapeutics
DBA Doing business as
Authorized official Perea-Hickam, Brandon Arthur PHD, BCBA, MFTC, ADD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2023
Last updated Oct 4th, 2023 - about 3 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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