Provider Demographics
NPI:1518719426
Name:BORNTOEBALANCED.COM, INC.
Entity Type:Organization
Organization Name:BORNTOEBALANCED.COM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:WOODHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:949-212-6228
Mailing Address - Street 1:27702 CROWN VALLEY PKWY
Mailing Address - Street 2:D-4 #218
Mailing Address - City:LADERA RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:92694
Mailing Address - Country:US
Mailing Address - Phone:949-212-6228
Mailing Address - Fax:
Practice Address - Street 1:23832 ROCKFIELD BLVD., SUITE 120
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:CA
Practice Address - Zip Code:92630
Practice Address - Country:US
Practice Address - Phone:949-212-6228
Practice Address - Fax:714-373-4550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-03
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty