Provider Demographics
NPI:1275135857
Name:BALANCED MINDSET COUNSELING LLC
Entity Type:Organization
Organization Name:BALANCED MINDSET COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SAREMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-235-4273
Mailing Address - Street 1:61 TWIN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-2949
Mailing Address - Country:US
Mailing Address - Phone:949-235-4273
Mailing Address - Fax:
Practice Address - Street 1:2 S BRIDGE DR STE 1B
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-2000
Practice Address - Country:US
Practice Address - Phone:949-235-4273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)