Living in Balance

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LIVING IN BALANCE

Practice address

545 N Azalea Rd
Petersburg, VA 23805-1420

Phone

(804) 926-4855

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By 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

Mrs. Tamara Mischa Lucas

Title

Owner

Phone

(804) 926-4855

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1205547064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10418 CENTRALIA STATION RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311143",
            "telephone_number": "804-926-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N AZALEA RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238051420",
            "telephone_number": "804-926-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING IN BALANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "MISCHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-926-4855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "url",
            "affiliation": "N",
            "endpointDescription": "url",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "545 N Azalea Rd",
            "city": "Petersburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "238051420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.