Whalio Doctors

NPI 1467232660

Ph Balance Therapeutics

Organisation Marriage & Family Therapist Longmont, CO

Practice location

Address
525 3rd Ave STE 211c, Longmont, CO 80501-5859
Phone
(720) 410-4529
Mailing address
954 5th Ave, Longmont, CO 80501-5424

Authorised official

Name
Brandon Arthur Perea-Hickam
Title
Ceo & Founder
Phone
(720) 410-4529

Registered specialties (2)

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X

Registry record

NPI
1467232660
Entity type
Organization
NPI issued
4 Oct 2023
Record last updated
4 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.