Provider Demographics
NPI:1942809520
Name:BALANCING ACT LIFE MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:BALANCING ACT LIFE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:VANBUREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-326-5292
Mailing Address - Street 1:510 MED CT STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3483
Mailing Address - Country:US
Mailing Address - Phone:210-326-5292
Mailing Address - Fax:
Practice Address - Street 1:510 MED CT STE 106
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3483
Practice Address - Country:US
Practice Address - Phone:210-326-5292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty