A Balanced Life: Individual, Family And Child Therapy, Inc | |
2100 Eloise Ave South Lake Tahoe CA 96150-4306 | |
(530) 544-1748 | |
(530) 544-1728 |
Full Name | A Balanced Life: Individual, Family And Child Therapy, Inc |
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Speciality | Counselor - Mental Health |
Location | 2100 Eloise Ave, South Lake Tahoe, California |
Authorized Official Name and Position | Lindsay Simon (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 5305441748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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A Balanced Life: Individual, Family And Child Therapy, Inc Po Box 7152 South Lake Tahoe CA 96158-0152 Ph: (530) 544-1748 | A Balanced Life: Individual, Family And Child Therapy, Inc 2100 Eloise Ave South Lake Tahoe CA 96150-4306 Ph: (530) 544-1748 |
NPI Number | 1083153837 |
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Provider Enumeration Date | 02/13/2017 |
Last Update Date | 02/13/2017 |
Identifier | Type | State | Issuer |
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1083153837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCSW24256 (California) | Primary |
A Balanced Life: Individual, Family & Child Therapy, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2100 Eloise Ave, South Lake Tahoe, CA 96150 Phone: 530-544-1748 Fax: 530-544-1728 | |
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