| Stand Inbalance, Llc | |
|
5655 Lindero Canyon Rd Ste 726 Westlake Village CA 91362-4068 | |
| (818) 714-1740 | |
| Not Available |
| Full Name | Stand Inbalance, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5655 Lindero Canyon Rd Ste 726, Westlake Village, California |
| Authorized Official Name and Position | Vallerie Coleman (CEO) |
| Authorized Official Contact | 8187141740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stand Inbalance, Llc 425 W Carlisle Rd Thousand Oaks CA 91361-5314 Ph: (310) 367-2592 | Stand Inbalance, Llc 5655 Lindero Canyon Rd Ste 726 Westlake Village CA 91362-4068 Ph: (818) 714-1740 |
| NPI Number | 1902383565 |
|---|---|
| Provider Enumeration Date | 07/25/2018 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902383565 | NPI | - | NPPES |
| 1962629899 | Medicaid | CA |
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