Organization
A BALANCED LIFE: INDIVIDUAL, FAMILY AND CHILD THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDSAY SIMON LMFT (OWNER/CLINICAL DIRECTOR)
(530) 544-1748
Entity
Organization
Contact information
Practice address
2100 ELOISE AVE, SOUTH LAKE TAHOE, CA 96150-4306
(530) 544-1748
(530) 544-1728
Mailing address
PO BOX 7152, SOUTH LAKE TAHOE, CA 96158-0152
(530) 544-1748
(530) 544-1728
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW24256
CA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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