Active NPI
In Balance Ranch Academy , Inc.
- Addiction (Substance Use Disorder) Counselor
- Huachuca City, AZ
National Provider Identifier
1194409433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- IN BALANCE RANCH ACADEMY , INC.
- Practice address
- 3331 N in Balance Rd
Huachuca City, AZ 85616-8318 - Phone
- (207) 505-0143
- NPI assigned
- Jun 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Reynolds
- Title
- Exec Admin Director
- Phone
- (207) 505-0143
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
3331 N in Balance Rd
Huachuca City, AZ 85616-8318
Mailing address
6107 E Grant Rd
Tucson, AZ 85712-5828
Phone (520) 722-9631
National Provider Directory
National Provider Directory- Tax ID family
- In Balance Ranch Academy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Huachuca City, AZ
- NPI 1275327454
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Huachuca City, AZ
- NPI 1487301941
Locations
3331 N In Balance Rd
Huachuca City, AZ 85616
Phone (207) 505-0143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1194409433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6107 E GRANT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857125828",
"telephone_number": "520-722-9631",
"fax_number": "520-722-9676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 N IN BALANCE RD",
"city": "HUACHUCA CITY",
"state": "AZ",
"postal_code": "856168318",
"telephone_number": "207-505-0143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IN BALANCE RANCH ACADEMY , INC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "EXEC ADMIN DIRECTOR",
"authorized_official_telephone_number": "207-505-0143"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huachuca City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.