Provider Demographics
NPI:1134876402
Name:BALANCING YOU FAMILY THERAPY CENTER INC.
Entity type:Organization
Organization Name:BALANCING YOU FAMILY THERAPY CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:SHEVAH
Authorized Official - Last Name:VAHDATPOUR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:951-708-6516
Mailing Address - Street 1:27890 CLINTON KEITH RD STE D-352
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-8571
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27890 CLINTON KEITH RD STE D-352
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-8571
Practice Address - Country:US
Practice Address - Phone:951-708-6516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty