| Your Life In Balance, Llc | |
|
5021 Northfield Dr Gibsonia PA 15044-8003 | |
| (304) 215-1122 | |
| Not Available |
| Full Name | Your Life In Balance, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5021 Northfield Dr, Gibsonia, Pennsylvania |
| Authorized Official Name and Position | Tonya Klein-jackson (OWNER) |
| Authorized Official Contact | 3047949724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Life In Balance, Llc 2910 Charles St Wellsburg WV 26070-1032 Ph: (304) 794-9724 | Your Life In Balance, Llc 5021 Northfield Dr Gibsonia PA 15044-8003 Ph: (304) 215-1122 |
| NPI Number | 1437960739 |
|---|---|
| Provider Enumeration Date | 01/15/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Medicare PECOS PAC ID | 0446789416 |
|---|---|
| Medicare Enrollment ID | O20250122000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437960739 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tonya Klein-jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578921540 PECOS PAC ID: 0244683035 Enrollment ID: I20240129001270 |
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