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Organization
LIVING AND BALANCE WELLNESS CENTER LLC
Active
Organization
LIVING AND BALANCE WELLNESS CENTER LLC
Active
Other names
Living and Balance Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE DAVIS (CEO)
(602) 314-6312
Entity
Organization
Contact information
Practice address
10000 N 31ST AVE STE C218, PHOENIX, AZ 85051-9620
(602) 314-6312
(602) 926-8317
Mailing address
10000 N 31ST AVE STE C218, PHOENIX, AZ 85051-9620
(602) 314-6312
(602) 926-8317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
06/02/2021
Last updated
10/02/2025
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