Balanced Life Psychotherapy
Clinic/Center, Mental Health (Including Community Mental Health Center) in Las Cruces, NM. Organization (NPI-2).
NPI number1497454532
StatusActive
Last updated in NPPESDec 27, 2023
Details
- NPI
- 1497454532
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Life Psychotherapy
- Organization subpart
- No
- Enumeration date
- Feb 27, 2023
- Certification date
- Dec 27, 2023
- Last updated
- Dec 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Other names
- Brittany Hernandez (Doing Business As)
Practice location
1100 S Main St Ste 201Las Cruces, NM 88005-2953
Phone 575-286-0897
Mailing address
1100 S Main St Ste 201Las Cruces, NM 88005-2953
Phone 575-286-0897
Authorized official
Brittany Herandnez
Owner
5752860897
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