Life Balance Practice, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

LIFE BALANCE PRACTICE, LLC

Practice address

563 S Sherman St
Denver, CO 80209-4028

Phone

(720) 335-3801

NPI assigned

Mar 21, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Trowill Waugh, LCSWNPI 1073149126

Title

Owner

Phone

(720) 335-3801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Trowill Waugh, LCSW

  • Clinical Social Worker
  • Denver, CO
  • NPI 1073149126
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1376245225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S BROADWAY STE 200-338",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091558",
            "telephone_number": "720-335-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 S SHERMAN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094028",
            "telephone_number": "720-335-3801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "TROWILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-335-3801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Liebowitz
• Anita Liebsch, NURSE PRACTITIONER
• Mary Kelly Liekis, FNP-C
• Mary Lien, PHARM.D
• Erica L Liesmaki, MD
• Life Care Centers of America, Inc.
• Life Changing Agency
• Life Changing Care
• Life Choice Hospice of Colorado , LLC
• Life Choice Hospice of Colorado, LLC

• Adult Mental Health Clinic/Center in Denver, CO
• Providers in Denver, CO by specialty
• Adult Mental Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.