| Balanced Waters Family Therapy, Inc. | |
|
4433 E Village Rd Ste H Long Beach CA 90808-1505 | |
| (562) 896-4694 | |
| Not Available |
| Full Name | Balanced Waters Family Therapy, Inc. |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4433 E Village Rd Ste H, Long Beach, California |
| Authorized Official Name and Position | Kimberly Michelle Gibbs (PRESIDENT) |
| Authorized Official Contact | 5628964694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Waters Family Therapy, Inc. 4433 E Village Rd Ste H Long Beach CA 90808-1505 Ph: (562) 896-4694 | Balanced Waters Family Therapy, Inc. 4433 E Village Rd Ste H Long Beach CA 90808-1505 Ph: (562) 896-4694 |
| NPI Number | 1659019438 |
|---|---|
| Provider Enumeration Date | 05/23/2022 |
| Last Update Date | 05/23/2022 |
| Certification Date | 05/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659019438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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