| Life Balance Institute Of Healing | |
|
1390 Broadway Ste B297 Placerville CA 95667-5900 | |
| (925) 519-3375 | |
| (925) 666-4741 |
| Full Name | Life Balance Institute Of Healing |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1390 Broadway Ste B297, Placerville, California |
| Authorized Official Name and Position | Kellee Annette Miles-maranz (MFT CLINICIAN) |
| Authorized Official Contact | 9255193375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Balance Institute Of Healing 1390 Broadway Ste B297 Placerville CA 95667-5900 Ph: (925) 519-3375 | Life Balance Institute Of Healing 1390 Broadway Ste B297 Placerville CA 95667-5900 Ph: (925) 519-3375 |
| NPI Number | 1033625462 |
|---|---|
| Provider Enumeration Date | 12/21/2017 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033625462 | NPI | - | NPPES |
| 1316157555 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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