Life Balance Counseling Llc | |
426 E 5th St Washington MO 63090-2811 | |
(314) 660-7473 | |
Not Available |
Full Name | Life Balance Counseling Llc |
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Speciality | Social Worker |
Location | 426 E 5th St, Washington, Missouri |
Authorized Official Name and Position | Yael Y Diplacido-eastman (SOLE MBR) |
Authorized Official Contact | 3146607473 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Life Balance Counseling Llc 426 E 5th St Washington MO 63090-2811 Ph: (314) 660-7473 | Life Balance Counseling Llc 426 E 5th St Washington MO 63090-2811 Ph: (314) 660-7473 |
NPI Number | 1184965675 |
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Provider Enumeration Date | 03/07/2013 |
Last Update Date | 03/07/2013 |
Medicare PECOS PAC ID | 1951542471 |
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Medicare Enrollment ID | O20130725000923 |
Identifier | Type | State | Issuer |
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1184965675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | 2010041707 (Missouri) | Primary |
Provider Name | Yael Y Diplacido-eastman |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548534605 PECOS PAC ID: 2860633385 Enrollment ID: I20130725000932 |
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