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BALANCED LIVING THERAPY LLC NPI 1063855609


NPI Information

NPI: 1063855609
Provider Name: BALANCED LIVING THERAPY, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
7500 212TH ST SW STE 205
EDMONDS, WA
ZIP 98026
Phone: (425) 977-4988
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BALANCED LIVING THERAPY, LLC is a community behavioral health in Edmonds, WA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. BALANCED LIVING THERAPY, LLC NPI is 1063855609. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7500 212TH ST SW STE 205
EDMONDS, WA
ZIP 98026-617
Phone: (425) 977-4988

The provider's authorized official is Maggie C Ishaq .
The authorized official title is Owner/licensed Mental Health Couns and has the following contact phone number (425) 977-4988.

The enumeration date for this NPI number is 4/13/2013 and was last updated on 3/30/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3106H00000XMarriage & Family TherapistNo
4251S00000XCommunity/Behavioral HealthYes
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
6261QM1300XClinic/CenterMulti-SpecialtyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1916313OTHERWASHINGTONCARPENTERS HEALTH AND SECURITY PLAN
22150671MEDICAIDWASHINGTON
3909035OTHERWASHINGTONAETNA
4912650OTHERWASHINGTONLIFEWISE OF WA
51950283OTHERWASHINGTONPROVIDENCE HEALTH PLAN OF WASHINGTON
61253932OTHERWASHINGTONKAISER
71560659OTHERWASHINGTONMOLINA HEALTH CARE OF WASHINGTON
8909040OTHERWASHINGTONFIRST CHOICE HEALTH NETWORK
91554873OTHERWASHINGTONCOMMUNITY HEALTH PLAN OF WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.