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General NPI Number Information
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NPI Number | 1861209827
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Entity Type | Organization
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Legal Business Name | BALANCE & BLOOM COUNSELING, LICENSED CLINICAL SOCIAL WORKER, INC
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 41185 GOLDEN GATE CIR STE 202
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City | MURRIETA
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State | CA
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Zip | 92562-6995
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Country | US
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Telephone | 951-633-9217
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Fax |
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Provider Business Mailing Address
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Address Line | 32120 TEMECULA PKWY # 1068
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City | TEMECULA
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State | CA
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Zip | 92592-6801
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Country | US
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Telephone | 951-633-9217
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | CYNTHIA CHERE NYBERG
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Credential | LCSW
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Telephone | 951-633-9217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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