Organization Active NPI

In Balance Ranch Academy , Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Huachuca City, AZ
National Provider Identifier
1194409433
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Jun 14, 2023

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.