Provider Demographics
NPI:1518854041
Name:BALANCED BEHAVIORAL HEALTH SERVICES LLC
Entity type:Organization
Organization Name:BALANCED BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYWANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBRO
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:404-991-8723
Mailing Address - Street 1:2232 FAIRFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33510-8209
Mailing Address - Country:US
Mailing Address - Phone:404-991-8723
Mailing Address - Fax:
Practice Address - Street 1:2232 FAIRFIELD AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33510-8209
Practice Address - Country:US
Practice Address - Phone:404-991-8723
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty