Provider Demographics
NPI:1417754227
Name:BLISSFUL BALANCE BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:BLISSFUL BALANCE BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAYANIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GINARTE FERREIRO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:239-980-1231
Mailing Address - Street 1:1603 NW 1ST TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-7622
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1222 SE 47TH ST STE 214
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9679
Practice Address - Country:US
Practice Address - Phone:239-747-7129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty