Creating Balance Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CREATING BALANCE THERAPY LLC

Practice address

49 Broad St Ste 2
Plainville, CT 06062-4201

Phone

(475) 285-0928

NPI assigned

Apr 5, 2022

Last updated

May 12, 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

Lisa Nelson, LPC

Title

Owner

Phone

(860) 538-5858

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1467193573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N MAIN ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 BROAD ST STE 2",
            "city": "PLAINVILLE",
            "state": "CT",
            "postal_code": "060624201",
            "telephone_number": "475-285-0928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATING BALANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-538-5858",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Brea Conway, MSW
• Alicia Alynn Corneau
• Justine Micalizzi Cornelio
• Jeydon Crane
• Kenisha A Creary, B.A.
• Robert C. Creer, M.S., LADC
• Jill R Cristo, LMFT
• Kayla Cristoferi
• Stephanie Crossley
• Sharlene Marjorie Croteau, LCSW

• Mental Health Counselor in Plainville, CT
• Providers in Plainville, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.