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A BALANCED LIFE EXPERIENCE
NPI 1407171176
Counselor - Mental Health in Boise, ID

Active since April 06, 2010
4696 W OVERLAND RD, SUITE 118, BOISE, ID 83705(208) 841-3581 Get Directions Write a Review

NPPES record last updated: April 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About A Balanced Life Experience NPPES

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

A BALANCED LIFE EXPERIENCE (NPI 1407171176) is a healthcare organization registered as a mental health in Boise, Idaho and active in the NPI registry since April 2010. The organization lists Ann J Moore, Owner/counselor, as its authorized official.

NPPES Registry Identity

NPI1407171176
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameA BALANCED LIFE EXPERIENCE
Location Address4696 W OVERLAND RD, SUITE 118Boise, ID 83705-2845
Mailing Address4696 W Overland Rd, Suite 118Boise, ID 83705-2845 · (208) 841-3581
Phone(208) 841-3581
Organization SubpartNo
Authorized OfficialAnn J MooreOwner/counselor · (208) 841-3581
Enumeration DateApril 6, 2010
Last NPPES UpdateApril 3, 2013
✔ NPI 1407171176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in ID · LCPC-3938✔ Licensed in ID · LPC-3839
4696 W OVERLAND RD, Boise, ID 83705
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

LIFEMATTERS COUNSELING SERVICES, LLC
Counselor (Professional)
4696 W OVERLAND RD, 268
BOISE, ID 83705
Ada County (208) 383-0072
A BETTER LIFE BEHAVIORAL HEALTH SERVICES, INC.
Community/Behavioral Health
4696 W OVERLAND RD, 236
BOISE, ID 83705
Ada County (208) 515-1660
DAVID LIAM BALL CYPSS, CPSS
Peer Specialist
4696 W OVERLAND RD
BOISE, ID 83705
Ada County (208) 421-6612
TARA J RYAN LCSW
Social Worker
4696 W OVERLAND RD, SUITE 252
BOISE, ID 83705
Ada County (208) 345-9300
ALEX PETER BORMANN M.D.
Psychiatry & Neurology (Psychiatry)
4696 W OVERLAND RD, SUITE 228
BOISE, ID 83705
Ada County (208) 343-4383
RILEY HARTELIUS
Counselor
4696 W OVERLAND RD
BOISE, ID 83705
Ada County (208) 421-6612
MS. MICHELLE ANNETTE SCOVILLE-DORMAN LPC
Counselor (Professional)
4696 W OVERLAND RD, SUITE 252
BOISE, ID 83705
Ada County (208) 841-3581
PAMELA H ARCHULETA NP
Nurse Practitioner (Family)
4696 W OVERLAND RD, SUITE 236
BOISE, ID 83705
Ada County (208) 850-5516

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 Experience's NPI number?

The NPI number for A Balanced Life Experience is 1407171176. It was assigned to this organization in the NPPES registry on April 6, 2010.

Where is A Balanced Life Experience located?

A Balanced Life Experience is located at 4696 W Overland Rd Suite 118, Boise, ID 83705. The listed phone number is (208) 841-3581.

What is A Balanced Life Experience'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 Experience was last updated on April 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.