Organization
MINDFULLY BALANCED MENTAL HEALTH AND WELLNESS FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA M CARLSON LMFT (CEO)
(760) 217-6437
Entity
Organization
Contact information
Practice address
16195 SISKIYOU RD STE 120B, APPLE VALLEY, CA 92307-1346
(760) 523-2140
Mailing address
16195 SISKIYOU RD STE 120B, APPLE VALLEY, CA 92307-1346
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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