Organization
LIFEBALANCE COUNSELING AND ART THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA KLACHKIN LPC, LCAT (OWNER, OPERATOR)
(973) 454-6087
Entity
Organization
Contact information
Practice address
301 S LIVINGSTON AVE STE 205, LIVINGSTON, NJ 07039-3929
(973) 454-6087
Mailing address
184 S. LIVINGSTON AVE SUITE 9181, LIVINGSTON, NJ 07039
(973) 454-6087
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
001104
NY
251S00000X
Community/Behavioral Health Agency
Primary
37PC000424400
NJ
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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