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

Individual provider Dance Therapist · NPI 1174202964

Marissa Paige Ballinger, LCAT is a Dance Therapist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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Practice location Address checks out

85 4th Ave Apt 2J
New York, NY 10003-5218
Phone: (919) 815-6680
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dance Therapist (primary) Taxonomy 225600000X · Licence 002753-01 (NY)

Record details

NPI number1174202964
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCAT
Sole proprietorYes
NPI enumeratedJuly 18, 2023
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

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