Provider Demographics
NPI:1932794492
Name:A CENTER FOR BALANCING THOUGHTS, PLLC
Entity type:Organization
Organization Name:A CENTER FOR BALANCING THOUGHTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTRANIQUE
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEBLETT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:704-251-5146
Mailing Address - Street 1:4651 CHARLOTTE PARK DR STE 101C
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-1916
Mailing Address - Country:US
Mailing Address - Phone:704-251-5146
Mailing Address - Fax:844-331-1422
Practice Address - Street 1:4651 CHARLOTTE PARK DR STE 101C
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-1916
Practice Address - Country:US
Practice Address - Phone:704-251-5146
Practice Address - Fax:844-331-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-07
Last Update Date:2021-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty