Life Balance Therapy Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LIFE BALANCE THERAPY SERVICES

Practice address

633 Royal Palm Dr
Virginia Beach, VA 23452-3730

Phone

(757) 384-5620

NPI assigned

Aug 18, 2022

Organization subpart

No

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

Authorized official

Name

Kim Richardson

Title

Credentialing

Phone

(757) 907-2567

Specialties & licenses 1

Addresses

Practitioners 1

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

• Stacy Ann Castro

  • Mental Health Counselor
  • Virginia Beach, VA
  • NPI 1770248536
  NPD

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1881312569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 ROYAL PALM DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523730",
            "telephone_number": "757-384-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 ROYAL PALM DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523730",
            "telephone_number": "757-384-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "757-907-2567"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breiten Mark Liebell, DC
• Donald Kenneth Liebell, D.C.
• Linda J Liebold, P.A.
• Errol E Liebowitz, PHD
• Jana Liedman, PTA
• Life Diagnostic Imaging LLC
• Life in Color LLC
• Life Skills Enhancement Services, LLC
• Life Stories
• Lifenet Health

• Mental Health Counselor in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.