| Balancing Life Cycles, Llc | |
|
500 Market St Ste 101 Fulton MO 65251-2808 | |
| (573) 591-1514 | |
| (573) 642-0087 |
| Full Name | Balancing Life Cycles, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 500 Market St Ste 101, Fulton, Missouri |
| Authorized Official Name and Position | Chanda L Herron (OWNER) |
| Authorized Official Contact | 5735911514 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balancing Life Cycles, Llc 500 Market St Ste 101 Fulton MO 65251-2808 Ph: (573) 591-1514 | Balancing Life Cycles, Llc 500 Market St Ste 101 Fulton MO 65251-2808 Ph: (573) 591-1514 |
| NPI Number | 1568972107 |
|---|---|
| Provider Enumeration Date | 10/10/2017 |
| Last Update Date | 10/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568972107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2013032185 (Missouri) | Primary |
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