Provider Demographics
NPI:1851409320
Name:BAL, ADRIANA W (PHD, MED, LMHC, NCC)
Entity Type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:W
Last Name:BAL
Suffix:
Gender:F
Credentials:PHD, MED, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S. FEDERAL HWY
Mailing Address - Street 2:#2722
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-2722
Mailing Address - Country:US
Mailing Address - Phone:786-288-1667
Mailing Address - Fax:
Practice Address - Street 1:500 S. FEDERAL HWY
Practice Address - Street 2:#2722
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-2722
Practice Address - Country:US
Practice Address - Phone:786-288-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9638101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health