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A BALANCED LIFE: INDIVIDUAL, FAMILY AND CHILD THERAPY, INC
NPI 1083153837
Counselor - Mental Health in South Lake Tahoe, CA

Active since February 13, 2017
2100 ELOISE AVE, SOUTH LAKE TAHOE, CA 96150(530) 544-1748(530) 544-1728 Get Directions Write a Review

NPPES record last updated: February 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A Balanced Life: Individual, Family And Child Therapy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A BALANCED LIFE: INDIVIDUAL, FAMILY AND CHILD THERAPY, INC (NPI 1083153837) is a healthcare organization registered as a mental health in South Lake Tahoe, California and active in the NPI registry since February 2017. The organization lists Lindsay Simon, Owner/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1083153837
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameA BALANCED LIFE: INDIVIDUAL, FAMILY AND CHILD THERAPY, INC
Location Address2100 ELOISE AVESouth Lake Tahoe, CA 96150-4306
Mailing AddressPo Box 7152South Lake Tahoe, CA 96158-0152 · (530) 544-1748 · Fax (530) 544-1728
Phone(530) 544-1748
Fax(530) 544-1728
Organization SubpartNo
Authorized OfficialLindsay SimonOwner/clinical Director · (530) 544-1748
Enumeration DateFebruary 13, 2017
✔ NPI 1083153837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · LCSW24256
2100 ELOISE AVE, South Lake Tahoe, CA 96150
Open in Google Maps ↗

Other Identifiers 1

Medicare NSC1609150853CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

A BALANCED LIFE: INDIVIDUAL, FAMILY & CHILD THERAPY, INC.
Marriage & Family Therapist
2100 ELOISE AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 544-1748
MS. KAYE MARY BRINDLEY LCSW
Social Worker (Clinical)
2100 ELOISE AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 328-0018

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is A Balanced Life: Individual, Family And Child Therapy, Inc's NPI number?

The NPI number for A Balanced Life: Individual, Family And Child Therapy, Inc is 1083153837. It was assigned to this organization in the NPPES registry on February 13, 2017.

Where is A Balanced Life: Individual, Family And Child Therapy, Inc located?

A Balanced Life: Individual, Family And Child Therapy, Inc is located at 2100 Eloise Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 544-1748.

What is A Balanced Life: Individual, Family And Child Therapy, Inc's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for A Balanced Life: Individual, Family And Child Therapy, Inc was last updated on February 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.