Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ph Balance Therapeutics

Organization Addiction (Substance Use Disorder) Counselor · NPI 1467232660

Ph Balance Therapeutics is an Addiction (Substance Use Disorder) Counselor in Longmont, Colorado. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

525 3rd Ave Ste 211C
Longmont, CO 80501-5859
Phone: (720) 410-4529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1467232660
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Perea-Hickam — Ceo & Founder · (720) 410-4529
NPI enumeratedOctober 4, 2023
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023
Mailing address954 5th Ave, Longmont, CO 80501-5424

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