Provider Demographics
NPI:1780348607
Name:BALANCED BEHAVIORAL CARE, LLC
Entity type:Organization
Organization Name:BALANCED BEHAVIORAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCH PA
Authorized Official - Prefix:MISS
Authorized Official - First Name:NELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARMIENTO
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:443-317-7268
Mailing Address - Street 1:120 SISTER PIERRE DR STE 501
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7527
Mailing Address - Country:US
Mailing Address - Phone:443-977-4808
Mailing Address - Fax:410-413-7029
Practice Address - Street 1:120 SISTER PIERRE DR STE 501
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7527
Practice Address - Country:US
Practice Address - Phone:443-977-4808
Practice Address - Fax:410-413-7029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & NeuropsychiatryGroup - Single Specialty