Balanced Transitions LLC
Counselor, Mental Health in Boulder, CO. Organization (NPI-2).
NPI number1194348367
StatusActive
Last updated in NPPESMay 22, 2020
Details
- NPI
- 1194348367
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Transitions LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2020
- Certification date
- May 22, 2020
- Last updated
- May 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1800 30th St Ste 207Boulder, CO 80301-1026
Phone 303-946-6070
Mailing address
1800 30th St Ste 207Boulder, CO 80301-1026
Authorized official
Tammy Lea Black
Psychotherapist
3039466070
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