Provider Demographics
NPI:1730060344
Name:RESTORATIVE BALANCE THERAPY
Entity type:Organization
Organization Name:RESTORATIVE BALANCE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:NIGGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:412-443-9743
Mailing Address - Street 1:709 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3632
Mailing Address - Country:US
Mailing Address - Phone:412-443-9743
Mailing Address - Fax:
Practice Address - Street 1:709 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3632
Practice Address - Country:US
Practice Address - Phone:412-443-9743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty