# A BALANCED LIFE: INDIVIDUAL, FAMILY & CHILD THERAPY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** A Balanced Life
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013297837
- **Authorized official:** MS. LINDSAY I SIMON LMFT (DIRECTOR)
- **Authorized official phone:** (530) 544-1748

## Contact information

- **Practice address:** 2100 ELOISE AVE, SOUTH LAKE TAHOE, CA 96150-4306
- **Practice address phone:** (530) 544-1748
- **Practice address fax:** (530) 544-1728
- **Mailing address:** 2100 ELOISE AVE, SOUTH LAKE TAHOE, CA 96150-4306
- **Mailing address phone:** (530) 544-1748
- **Mailing address fax:** (530) 544-1728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | 50196 | CA | — |
| 106H00000X | Marriage & Family Therapist | 50196 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2011
- **Last updated:** 07/21/2022