Provider Demographics
NPI:1831833870
Name:WHOLE LIFE BALANCE
Entity type:Organization
Organization Name:WHOLE LIFE BALANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED THERAPIST/ OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MALSEED
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:586-335-3476
Mailing Address - Street 1:11051 SHADYWOODS CT
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-3455
Mailing Address - Country:US
Mailing Address - Phone:586-335-3476
Mailing Address - Fax:
Practice Address - Street 1:52188 VAN DYKE AVE STE 319
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-3571
Practice Address - Country:US
Practice Address - Phone:586-262-9503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-26
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty