| Life Balance Practice, Llc | |
|
563 S Sherman St Denver CO 80209-4028 | |
| (720) 335-3801 | |
| Not Available |
| Full Name | Life Balance Practice, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 563 S Sherman St, Denver, Colorado |
| Authorized Official Name and Position | Deborah Trowill Waugh (OWNER) |
| Authorized Official Contact | 7203353801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Balance Practice, Llc 303 S Broadway Ste 200-338 Denver CO 80209-1558 Ph: (720) 335-3801 | Life Balance Practice, Llc 563 S Sherman St Denver CO 80209-4028 Ph: (720) 335-3801 |
| NPI Number | 1376245225 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Medicare PECOS PAC ID | 1557717196 |
|---|---|
| Medicare Enrollment ID | O20231102000553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376245225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Deborah Trowill Waugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073149126 PECOS PAC ID: 2466808001 Enrollment ID: I20231102000724 |
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