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Organization
MIND AND BODY BALANCE
Active
Organization
MIND AND BODY BALANCE
Active
Other names
Life Balance Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALVILDA OLIVIA PACHECO CMHC (THERAPIST)
(435) 843-1348
Entity
Organization
Contact information
Practice address
507 LACEY CT, TOOELE, UT 84074-4119
(435) 843-1348
Mailing address
507 LACEY CT, TOOELE, UT 84074-4119
(435) 843-1348
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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