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Organization
WISCONSIN FAMILY MENTAL BALANCE LLC
Active
Organization
WISCONSIN FAMILY MENTAL BALANCE LLC
Active
Other names
Wisconsin Family Mental Balance
Organization subpart
No
Provider details
NPI number
Authorized official
GERALYN VAVAL SAC-IT (OWNER)
(608) 820-1395
Entity
Organization
Contact information
Practice address
4710 E BROADWAY STE 140, MADISON, WI 53716-4109
(608) 820-1395
(608) 820-1395
Mailing address
4710 E BROADWAY STE 140, MADISON, WI 53716-4109
(608) 820-1395
(608) 820-1395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/18/2025
Last updated
10/20/2025
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