Organization · Type 2 NPI
Life Balance Medical Group LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Tampa, FL
NPI number
1336775733
Active
Practice location
2916 W Waters Ave Ste A1
Tampa, FL 33614-1869
Fax (813) 443-1869
Mailing address
PO Box 151686
Tampa, FL 33684-1686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1336775733
Life Balance Medical Group LLC's National Provider Identifier is 1336775733, issued on Mar 17, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Tampa, FL. The record was last updated on Sep 21, 2021.