Provider Demographics
NPI:1346876661
Name:FIND YOUR BALANCE PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:FIND YOUR BALANCE PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:OLIVIA
Authorized Official - Last Name:MOTLEY MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:804-835-5853
Mailing Address - Street 1:1920 MATOAX AVE
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-2843
Mailing Address - Country:US
Mailing Address - Phone:804-835-5853
Mailing Address - Fax:804-251-1342
Practice Address - Street 1:7410 HULL STREET RD STE 102
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-5834
Practice Address - Country:US
Practice Address - Phone:804-835-5853
Practice Address - Fax:804-251-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health