Provider Demographics
NPI:1376142927
Name:BALANCE BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:BALANCE BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SURGEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:850-712-6418
Mailing Address - Street 1:4730 PEACOCK DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6827
Mailing Address - Country:US
Mailing Address - Phone:850-712-6418
Mailing Address - Fax:
Practice Address - Street 1:1101 GULF BREEZE PKWY STE 12
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4892
Practice Address - Country:US
Practice Address - Phone:850-391-3012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty