Provider Demographics
NPI:1811733975
Name:CRUX PSYCHOTHERAPY LLC
Entity type:Organization
Organization Name:CRUX PSYCHOTHERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:BALSAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-212-7117
Mailing Address - Street 1:1325 DENNISTON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1330
Mailing Address - Country:US
Mailing Address - Phone:412-780-5582
Mailing Address - Fax:
Practice Address - Street 1:1325 DENNISTON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-1330
Practice Address - Country:US
Practice Address - Phone:412-780-5582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty