| Regain Life Balance Llc | |
|
146 E Liberty St Ste 20 Wooster OH 44691-4372 | |
| (330) 439-0034 | |
| Not Available |
| Full Name | Regain Life Balance Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 146 E Liberty St Ste 20, Wooster, Ohio |
| Authorized Official Name and Position | Aliza Leslyn Vinson (VOLUNTEER PROVIDER) |
| Authorized Official Contact | 8082272449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regain Life Balance Llc 146 E Liberty St Ste 20 Wooster OH 44691-4372 Ph: (330) 439-0034 | Regain Life Balance Llc 146 E Liberty St Ste 20 Wooster OH 44691-4372 Ph: (330) 439-0034 |
| NPI Number | 1073171302 |
|---|---|
| Provider Enumeration Date | 06/02/2019 |
| Last Update Date | 06/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073171302 | NPI | - | NPPES |
| 433475 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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