NEW LIFE BALANCE, LLC (NPI# 1558611970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558611970 |
| Entity Type | Organization |
| Organization Name | NEW LIFE BALANCE, LLC |
| Practice Address |
2689 S Highland Dr Salt Lake City UT 84106-2774 |
| Practice Telephone | 4356954421 |
| Practice Fax Number | 3852590990 |
| Mailing Telephone | 4356954421 |
| Mailing Fax Number | 3852590990 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Authorized Official Name | CHARLES MCCUSKER (REGISTERED AGENT) |
| Authorized Official Telephone | 4356954421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1160352501 | UT | Behavioral Health & Social Service Providers |
| Street Address |
2689 S HIGHLAND DR |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84106-2774 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801400015 | Tyra Mae Vance | Counselor | 3375 S 880 E, Salt Lake City, UT 84106 | 2020-09-04 |
| 1316596554 | Adam Davies | Pharmacist | 1280 E Stringham Ave., Salt Lake City, UT 84106 | 2019-09-10 |
| 1558919142 | University of Utah | Pharmacy | 1280 E. Stringham Ave, Suite 101, Salt Lake City, UT 84106 | 2019-08-28 |
| 1588174064 | Aaron Potts | Naturopath | 1945 1100 E, #100, Salt Lake City, UT 84106 | 2017-10-10 |
| 1801335005 | Gretchen Dennison | Nurse Practitioner | 2138 S Highland Dr, Salt Lake City, UT 84106 | 2017-02-21 |
| 1376095794 | Jeannette Daneals | Naturopath | 1945 South 1100 East, Suite 100, Salt Lake City, UT 84106 | 2016-11-02 |
| 1073908703 | Tracey Steinmetz | Massage Therapist | 3300 South 970 East, Suite 7, Salt Lake City, UT 84106 | 2015-03-31 |
| 1275949091 | Amy Deforest Edwards | Counselor | Jewish Family Service, 1111 E Brickyard Rd, Suite 218, Slc, UT 84106 | 2014-07-02 |
| 1194138636 | Hillary Lowe Taggart | Nurse Practitioner | 3369 S Highland Dr, Salt Lake City, UT 84106 | 2014-06-03 |
| 1487086617 | Herald R. Clark, Dds | Dentist | 3643 S. Highland Drive, Salt Lake City, UT 84106 | 2013-07-30 |
| Find all providers in zip 84106 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780230433 | Carolynne Elizabeth Baron | Psychologist | Va Salt Lake City Healthcare System 500 Foothill Drive, Salt Lake City, UT 84148-0001 | 2019-08-16 |
| 1083133938 | Dio Turner II | Psychologist | 1060 E 100 S Ste 100, Salt Lake City, UT 84102-1582 | 2017-09-12 |
| 1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
| 1205202355 | Laura Rowley | Psychologist | 170 S 1000 E Ste 201, Salt Lake City, UT 84102-1403 | 2015-08-12 |
| 1275916223 | Amy Bonifay Russell | Psychologist | 2469 E Fort Union Blvd Ste 206, Salt Lake City, UT 84121-3417 | 2015-07-08 |
| 1952710071 | The Pearce Institute of Child and Family Psychology, LLC | Psychologist | 231 E 2100 S, Suite 203, Salt Lake City, UT 84115-2187 | 2014-08-04 |
| 1053728105 | Margaret Ruth Moore | Psychologist | 1726 E Michigan Ave, Salt Lake City, UT 84108-1320 | 2014-07-21 |
| 1316360225 | Amanda Lorraine Rapacz | Psychologist | 239 E Belmont Ave, Salt Lake City, UT 84111-4619 | 2014-01-28 |
| 1134566904 | Allison Marie Smith | Psychologist | 504 E 800 S Apt 1b, Salt Lake City, UT 84102-3361 | 2013-06-03 |
| 1386910909 | Barbara Ogden | Psychologist | 77 W 200 S, Suite 314, Salt Lake City, UT 84101-1609 | 2012-03-28 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84106 |
Please comment or provide details below to improve the information on NEW LIFE BALANCE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.