CREATE YOUR BALANCE MENTAL HEALTH COUNSELING
NPI 1073274627
Clinic/Center - Mental Health (Including Community Mental Health Center) in Little Neck, NY

Q: What is Create Your Balance Mental Health Counseling's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 05, 2022

25410 NORTHERN BLVD STE 211, LITTLE NECK, NY 11362(917) 239-5734(718) 819-1148 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Create Your Balance Mental Health Counseling NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CREATE YOUR BALANCE MENTAL HEALTH COUNSELING (NPI 1073274627) is a healthcare organization registered as a mental health (including community mental health center) in Little Neck, New York and active in the NPI registry since January 2022. The organization lists Jillian Lauren Decoursey, Owner, as its authorized official.

NPPES Registry Identity

NPI1073274627

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCREATE YOUR BALANCE MENTAL HEALTH COUNSELING

Location Address25410 NORTHERN BLVD STE 211Little Neck, NY 11362-1415

Mailing Address25410 Northern Blvd Ste 211Little Neck, NY 11362-1415 · (917) 239-5734 · Fax (718) 819-1148

Phone(917) 239-5734

Fax(718) 819-1148

Organization SubpartNo

Authorized OfficialJillian Lauren DecourseyOwner · (917) 239-5734

Enumeration DateJanuary 5, 2022

NPPES CertifiedJanuary 5, 2022

✔ NPI 1073274627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

25410 NORTHERN BLVD STE 211, Little Neck, NY 11362

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Create Your Balance Mental Health Counseling's NPI number?

The NPI number for Create Your Balance Mental Health Counseling is 1073274627. It was assigned to this organization in the NPPES registry on January 5, 2022.

Where is Create Your Balance Mental Health Counseling located?

Create Your Balance Mental Health Counseling is located at 25410 Northern Blvd Ste 211, Little Neck, NY 11362. The listed phone number is (917) 239-5734.

What is Create Your Balance Mental Health Counseling's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Create Your Balance Mental Health Counseling was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.