Provider Demographics
NPI:1548853724
Name:BALANCED LIFE COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:BALANCED LIFE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:J
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:606-585-4119
Mailing Address - Street 1:801 MCCULLOUGH ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:KY
Mailing Address - Zip Code:41102-4449
Mailing Address - Country:US
Mailing Address - Phone:606-585-4119
Mailing Address - Fax:
Practice Address - Street 1:506 MARGARET ST
Practice Address - Street 2:
Practice Address - City:SOUTH POINT
Practice Address - State:OH
Practice Address - Zip Code:45680-8402
Practice Address - Country:US
Practice Address - Phone:606-388-3120
Practice Address - Fax:888-384-2620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health