A BALANCED LIFE: INDIVIDUAL FAMILY AND CHILD THERAPY INC NPI 1083153837

NPI Information

A BALANCED LIFE: INDIVIDUAL, FAMILY AND CHILD THERAPY, INC is a mental health counselor in South Lake Tahoe, CA. A BALANCED LIFE: INDIVIDUAL, FAMILY AND CHILD THERAPY, INC NPI is 1083153837. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 ELOISE AVE
SOUTH LAKE TAHOE, CA
ZIP 96150-306
Phone: (530) 544-1748
Fax: (530) 544-1728

The provider's authorized official is Lindsay Simon .
The authorized official title is Owner/clinical Director and has the following contact phone number (530) 544-1748.

The enumeration date for this NPI number is 2/13/2017 and was last updated on 2/13/2017.

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:

Other Identifiers

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