OrganizationActive
Balancing Life Cycles, LLC
NPI 1568972107 · Clinical Social Worker · Fulton, MO
Provider details
- NPI number
- 1568972107
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Chanda Herron, Owner(573) 591-1514
- License
- 2013032185 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
500 Market St Ste 101
Fulton, MO 65251-2808
Phone: (573) 591-1514
Fax: (573) 642-0087
Approximate (ZIP-level) locationGet directions
Mailing address
500 Market St Ste 101
Fulton, MO 65251-2808
Registry dates
- Enumerated
- 2017-10-10
- Last updated
- 2017-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.