# BALANCED HEART AND MIND THERAPY

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

## Provider details

- **NPI number:** 1922997006
- **Authorized official:** LIEZEL LAUGUICO (LMFT)
- **Authorized official phone:** (805) 243-8903

## Contact information

- **Practice address:** 30941 AGOURA RD STE 116, WESTLAKE VILLAGE, CA 91361-4636
- **Practice address phone:** (805) 243-8903
- **Mailing address:** 30941 AGOURA RD STE 116, WESTLAKE VILLAGE, CA 91361-4636
- **Mailing address phone:** (805) 876-4284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2025
- **Last updated:** 06/24/2026
