Organization
MIND AND BODY BALANCE
Active
Other names
Life Balance Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ALVILDA OLIVIA PACHECO CMHC (THERAPIST)
(435) 843-1348
Entity
Organization
Contact information
Practice address
507 LACEY CT, TOOELE, UT 84074-4119
(435) 843-1348
Mailing address
507 LACEY CT, TOOELE, UT 84074-4119
(435) 843-1348
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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