Healthcare Provider Details

I. General information

NPI: 1346167103
Provider Name (Legal Business Name): HEALING BALANCE FAMILY THERAPY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5520 WELLESLEY ST STE 109-110
LA MESA CA
91942-4431
US

IV. Provider business mailing address

5520 WELLESLEY ST STE 109-110
LA MESA CA
91942-4431
US

V. Phone/Fax

Practice location:
  • Phone: 619-382-3154
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: AMBER MONROE
Title or Position: OWNER
Credential: LMFT
Phone: 619-972-9386