# LIFE BALANCE BEND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669998266
- **Authorized official:** MR. TRAVIS SAMMON LCSW (CO-OWNER)
- **Authorized official phone:** (541) 306-1898

## Contact information

- **Practice address:** 15 SW COLORADO AVE STE 350, BEND, OR 97702-1130
- **Practice address phone:** (541) 306-1898
- **Mailing address:** 15 SW COLORADO AVE STE 350, BEND, OR 97702-1130
- **Mailing address phone:** (541) 306-1898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 3873 | OR | — |
| 1041C0700X | Clinical Social Worker | 4289 | OR | Yes |

## Other

- **Enumeration date:** 08/16/2017
- **Last updated:** 07/21/2022