Theresa Ballas, LAC
Counselor, Professional in Glassboro, New Jersey
1073069985- Practice location
- 42 Delsea Dr S, Glassboro, NJ 08028-2621
- Phone
- 856-881-8689
- Fax
- 856-881-5508
- Last updated
- August 31, 2016
Theresa Ballas is a Counselor, Professional based in Glassboro, NJ. Theresa Ballas practices in Glassboro, NJ and has the professional credentials of LAC. The NPI Number for Theresa Ballas is 1073069985 and holds a License No. 37AC00300100 (NJ). The current practice location address for Theresa Ballas is 42 Delsea Dr S, Glassboro, NJ 08028-2621 and can be reached out via phone at 856-881-8689 and via fax at 856-881-5508.
Provider Profile Details
- NPI Number
- 1073069985
- Provider Name
- Theresa Ballas
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 42 Delsea Dr S, Glassboro, NJ 08028-2621
- Phone Number
- 856-881-8689
- Fax Number
- 856-881-5508
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2016
- Last Update Date
- August 31, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 42 Delsea Dr S
Glassboro, NJ 08028-2621 - City
- Glassboro
- State
- New Jersey
- Zip
- 08028-2621
- Phone Number
- 856-881-8689
- Fax Number
- 856-881-5508
Provider Business Mailing Address Details
- Address
- 42 Delsea Dr S
Glassboro, NJ 08028-2621 - City
- Glassboro
- State
- NJ
- Zip
- 08028-2621
- Phone Number
- 856-881-8689
- Fax Number
- 856-881-5508
License Information
- License Number (1)
- 37AC00300100
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- License Number (2)
- 101YP2500X
- License State (2)
- NJ
- Taxonomy (2)
- Counselor · 101Y00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Theresa Ballas, LAC?
The NPI number of Theresa Ballas, LAC is 1073069985. It was assigned on August 31, 2016 and is currently active in the NPPES registry.
What is the specialty of Theresa Ballas, LAC?
Theresa Ballas, LAC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00300100.
Where does Theresa Ballas, LAC practice?
The practice location is 42 Delsea Dr S, Glassboro, NJ 08028-2621. The office can be reached at 856-881-8689 (phone) or 856-881-5508 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073069985 directly on the NPPES registry website.