# LIVING AND BALANCE WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIVING AND BALANCE WELLNESS CENTER LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043140775
- **Legal business name:** LIVING AND BALANCE WELLNESS CENTER LLC
- **Authorized official:** MARIE DAVIS (CEO)
- **Authorized official phone:** (602) 403-5160

## Contact information

- **Practice address:** 736 N COUNTRY CLUB DR STE 102, MESA, AZ 85201-4981
- **Practice address phone:** (602) 314-6312
- **Mailing address:** 736 N COUNTRY CLUB DR STE 102, MESA, AZ 85201-4981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/22/2026
- **Last updated:** 05/22/2026