Organization
WISCONSIN FAMILY MENTAL BALANCE LLC
Active
Other names
Wisconsin Family Mental Balance
Organization subpart
No
Provider details
NPI number
Authorized official
GERALYN VAVAL SAC-IT (OWNER)
(608) 820-1395
Entity
Organization
Contact information
Practice address
4710 E BROADWAY STE 140, MADISON, WI 53716-4109
(608) 820-1395
(608) 820-1395
Mailing address
4710 E BROADWAY STE 140, MADISON, WI 53716-4109
(608) 820-1395
(608) 820-1395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/18/2025
Last updated
10/20/2025
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