Organization
LIVE LIFE BALANCED HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHIREEN GHANATABADI MA, LPCC, SEP (OWNER/THERAPIST)
(612) 444-1655
Entity
Organization
Contact information
Practice address
2546 JOHNSON ST NE, MINNEAPOLIS, MN 55418-3941
(612) 444-1655
Mailing address
2546 JOHNSON ST NE, MINNEAPOLIS, MN 55418-3941
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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