REGAIN LIFE BALANCE LLC NPI 1073171302

NPI Information

NPI: 1073171302
Provider Name: REGAIN LIFE BALANCE LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
146 E LIBERTY ST STE 20
WOOSTER, OH
ZIP 44691
Phone: (330) 439-0034
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REGAIN LIFE BALANCE LLC is a mental health counselor in Wooster, OH. REGAIN LIFE BALANCE LLC NPI is 1073171302. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

146 E LIBERTY ST STE 20
WOOSTER, OH
ZIP 44691-372
Phone: (330) 439-0034

The provider's authorized official is Aliza Leslyn Vinson .
The authorized official title is Volunteer Provider and has the following contact phone number (808) 227-2449.

The enumeration date for this NPI number is 6/2/2019 and was last updated on 6/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	433475	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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