AUTHENTIC BALANCE CONSORTIUM LLC; NPI #1538347349

Contact Information

AUTHENTIC BALANCE CONSORTIUM LLC

267 WILLIMANTIC RD
SUITE 5
CHAPLIN, CT 06235-2516

Phone: 860-617-2848
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Professional	101YP2500X
Clinical	1041C0700X	80	Licensed Clinical Social Worker

Indicates primary specialty

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NPI Profile & details for AUTHENTIC BALANCE CONSORTIUM LLC

NPI # 1538347349

LBN Legal business name AUTHENTIC BALANCE CONSORTIUM LLC

Authorized official DIANE TARRICONE - (PARTNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/04/2008

Last updated 02/04/2008 - About 18 years ago

Identifiers

CT	License #	001484
CT	License #	006609

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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AUTHENTIC BALANCE CONSORTIUM LLC

Contact Information

Specialty

Professional

Clinical

NPI Profile & details for AUTHENTIC BALANCE CONSORTIUM LLC

Reviews for AUTHENTIC BALANCE CONSORTIUM LLC