Provider Demographics
NPI:1619585916
Name:BALANCE THERAPY INSTITUTE AND CONSULTING
Entity Type:Organization
Organization Name:BALANCE THERAPY INSTITUTE AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAELLE
Authorized Official - Middle Name:DARLEY
Authorized Official - Last Name:PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT, LMHC
Authorized Official - Phone:305-303-0677
Mailing Address - Street 1:1102 N SANTA CATALINA CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33068-6310
Mailing Address - Country:US
Mailing Address - Phone:305-303-0677
Mailing Address - Fax:
Practice Address - Street 1:300 S PINE ISLAND RD STE 246A
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-2631
Practice Address - Country:US
Practice Address - Phone:305-303-0677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2020-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)