Provider Demographics
NPI:1679983589
Name:TRUE BALANCE THERAPY & LIFE COACHING
Entity Type:Organization
Organization Name:TRUE BALANCE THERAPY & LIFE COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-791-5757
Mailing Address - Street 1:PO BOX 509
Mailing Address - Street 2:
Mailing Address - City:CASTLE HAYNE
Mailing Address - State:NC
Mailing Address - Zip Code:28429-0509
Mailing Address - Country:US
Mailing Address - Phone:910-791-5757
Mailing Address - Fax:910-251-5893
Practice Address - Street 1:2202 WRIGHTSVILLE AVE
Practice Address - Street 2:STE 113
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-3051
Practice Address - Country:US
Practice Address - Phone:910-791-5757
Practice Address - Fax:910-791-5757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty