Organization
BALANCING LIFE CYCLES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA L HERRON LCSW (OWNER)
(573) 591-1514
Entity
Organization
Contact information
Practice address
500 MARKET ST STE 101, FULTON, MO 65251-2808
(573) 591-1514
(573) 642-0087
Mailing address
500 MARKET ST STE 101, FULTON, MO 65251-2808
(573) 591-1514
(573) 642-0087
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2013032185
MO
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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