Loving Life With Balance

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LOVING LIFE WITH BALANCE

Practice address

10077 Woodlee CV
Cordova, TN 38016-0367

Phone

(520) 542-2035

Fax

(877) 540-0067

NPI assigned

Jul 10, 2023

Last updated

Jul 10, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosalinda Logan-Peters, CPC, CPPM,COBGC,BSN

Title

Revenue Cycle Manager

Phone

(520) 416-6639

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1114605227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10077 WOODLEE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160367",
            "telephone_number": "520-542-2035",
            "fax_number": "877-540-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10077 WOODLEE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160367",
            "telephone_number": "520-542-2035",
            "fax_number": "877-540-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING LIFE WITH BALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "LOGAN-PETERS",
        "authorized_official_first_name": "ROSALINDA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "520-416-6639",
        "authorized_official_credential": "CPC, CPPM,COBGC,BSN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joseph Ardiel Dayao Lubrico, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cordova, TN
• Providers in Cordova, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.