Balanced Psychotherapy LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

BALANCED PSYCHOTHERAPY LLC

Practice address

23413 Beverly St
Saint Clair Shores, MI 48082-2125

Phone

(248) 912-7046

NPI assigned

Nov 8, 2023

Last updated

Nov 8, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mackenzie Powers, LMSW

Title

Owner

Phone

(248) 912-7046

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mackenzie Fernandez, LMSW

  • Clinical Social Worker
  • Saint Clair Shores, MI
  • NPI 1760058341
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1376317669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23413 BEVERLY ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822125",
            "telephone_number": "248-912-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23413 BEVERLY ST",
            "city": "SAINT CLAIR SHORES",
            "state": "MI",
            "postal_code": "480822125",
            "telephone_number": "248-912-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "MACKENZIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-912-7046",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickalene Badalamenti-Kalas, DDS
• Philip Salvatore Badalamenti, DDS
• Bryan Alan Baetens, D.C.
• Katherine Baetz, LMSW-C, CAADC, ADS
• Desiree K Bailey
• Audra Balcarcel
• Joshua-James Ballnik, PHARMD
• Kathleen Marie Bannatyne, R.PH.
• Ali Barakat, PHARMD, RPH
• Mohammed Barawi, MD

• Social Worker in Saint Clair Shores, MI
• Providers in Saint Clair Shores, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.