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BALANCED LIFE COUNSELING SERVICES LLC NPI 1770084535


NPI Information

NPI: 1770084535
Provider Name: BALANCED LIFE COUNSELING SERVICES, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
560 RIVERSIDE DR STE B101
SALISBURY, MD
ZIP 21801
Phone: (410) 422-3823
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BALANCED LIFE COUNSELING SERVICES, LLC is a clinical social worker in Salisbury, MD. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. BALANCED LIFE COUNSELING SERVICES, LLC NPI is 1770084535. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

560 RIVERSIDE DR STE B101
SALISBURY, MD
ZIP 21801-701
Phone: (410) 422-3823

The provider's authorized official is Laura F Harrison .
The authorized official title is Therapist/owner and has the following contact phone number (410) 422-3823.

The enumeration date for this NPI number is 2/26/2018 and was last updated on 2/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical10928MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17374385OTHERMARYLANDAETNA
2398872OTHERMARYLANDMHN
3294041OTHERMARYLANDJOHNS HOPKINS HEALTH CARE
4476737-000OTHERMARYLANDMAGELLAN
50010OTHERMARYLANDCARE FIRST BLUE CHOICE
6615825-01OTHERMARYLANDCAREFIRST OF MD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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