| Life In Balance Counseling And Wellness Center | |
|
400 Roanoke St Christiansburg VA 24073-3139 | |
| (540) 381-6215 | |
| (540) 381-6216 |
| Full Name | Life In Balance Counseling And Wellness Center |
|---|---|
| Speciality | Counselor |
| Location | 400 Roanoke St, Christiansburg, Virginia |
| Authorized Official Name and Position | Angela Marie Mcgoldrick (OWNER/DIRECTOR) |
| Authorized Official Contact | 5403816215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life In Balance Counseling And Wellness Center 400 Roanoke St Christiansburg VA 24073-3139 Ph: (540) 381-6215 | Life In Balance Counseling And Wellness Center 400 Roanoke St Christiansburg VA 24073-3139 Ph: (540) 381-6215 |
| NPI Number | 1093047136 |
|---|---|
| Provider Enumeration Date | 01/30/2010 |
| Last Update Date | 02/29/2024 |
| Certification Date | 02/29/2024 |
| Medicare PECOS PAC ID | 7517118532 |
|---|---|
| Medicare Enrollment ID | O20121121000041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093047136 | NPI | - | NPPES |
| 1679658587 | Medicaid | VA | |
| 600651686 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0701004405 (Virginia) | Primary |
| Provider Name | Erin M Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730155292 PECOS PAC ID: 3274568936 Enrollment ID: I20050930000397 |
| Provider Name | Deanna Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689318123 PECOS PAC ID: 9335525732 Enrollment ID: I20221010000544 |
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