OrganizationActive
A Balanced Life: Individual, Family & Child Therapy, Inc.
NPI 1013297837 · Marriage & Family Therapist · South Lake Tahoe, CA
Provider details
- NPI number
- 1013297837
- Entity type
- Organization
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Authorized official
- Lindsay Simon, Director
- License
- 50196 (CA)
Practice location
2100 Eloise Ave
South Lake Tahoe, CA 96150-4306
Phone: (530) 544-1748
Fax: (530) 544-1728
Mailing address
2100 Eloise Ave
South Lake Tahoe, CA 96150-4306
Registry dates
- Enumerated
- 2011-08-24
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.