Life Balance Therapy | |
8627 Cinnamon Creek Dr Bldg 401 San Antonio TX 78240-1482 | |
(210) 549-6663 | |
(210) 610-8291 |
Full Name | Life Balance Therapy |
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Speciality | Counselor |
Location | 8627 Cinnamon Creek Dr Bldg 401, San Antonio, Texas |
Authorized Official Name and Position | Chriselda Santos (PRACTICE OWNER) |
Authorized Official Contact | 2105496663 |
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 Therapy 31910 Oak Ridge Pkwy Bulverde TX 78163-3042 Ph: (210) 549-6663 | Life Balance Therapy 8627 Cinnamon Creek Dr Bldg 401 San Antonio TX 78240-1482 Ph: (210) 549-6663 |
NPI Number | 1205471828 |
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Provider Enumeration Date | 11/07/2019 |
Last Update Date | 02/14/2024 |
Certification Date | 02/14/2024 |
Medicare PECOS PAC ID | 5890139000 |
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Medicare Enrollment ID | O20240215002617 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205471828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Veronica Davalos-albrecht |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194734574 PECOS PAC ID: 5294103404 Enrollment ID: I20221217000108 |
Provider Name | Chriselda Santos |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1548501604 PECOS PAC ID: 3173967387 Enrollment ID: I20240215002576 |
Provider Name | Jose Gerardo Alvarado |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1295075356 PECOS PAC ID: 0345689402 Enrollment ID: I20240422003302 |
Provider Name | Phyllis Patterson-foley |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1033533054 PECOS PAC ID: 7315386380 Enrollment ID: I20240424000093 |
Provider Name | Laurie Renee Speed |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1003663816 PECOS PAC ID: 8527500313 Enrollment ID: I20240607002477 |
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