Organization
LIFE BALANCE THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM RICHARDSON (CREDENTIALING)
(757) 907-2567
Entity
Organization
Contact information
Practice address
633 ROYAL PALM DR, VIRGINIA BEACH, VA 23452-3730
(757) 384-5620
Mailing address
633 ROYAL PALM DR, VIRGINIA BEACH, VA 23452-3730
(757) 384-5620
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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