Provider Demographics
NPI:1902497068
Name:CREATING LIFE'S BALANCE, INC.
Entity Type:Organization
Organization Name:CREATING LIFE'S BALANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALOIAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:716-640-1089
Mailing Address - Street 1:49 JEFFREY DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1930
Mailing Address - Country:US
Mailing Address - Phone:716-640-1089
Mailing Address - Fax:
Practice Address - Street 1:1416 SWEET HOME RD STE 1
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2786
Practice Address - Country:US
Practice Address - Phone:716-640-1089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty