Provider Demographics
NPI:1053203505
Name:BALANCED BEHAVIORAL HEALTH & WELLNESS P.C.
Entity type:Organization
Organization Name:BALANCED BEHAVIORAL HEALTH & WELLNESS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:NOVITSKY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:215-870-6687
Mailing Address - Street 1:512 KENNETT PIKE STE 500
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-7393
Mailing Address - Country:US
Mailing Address - Phone:215-870-6687
Mailing Address - Fax:610-968-1676
Practice Address - Street 1:512 KENNETT PIKE STE 500
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-7393
Practice Address - Country:US
Practice Address - Phone:215-870-6687
Practice Address - Fax:610-968-1676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health