| Balanced Life Counseling, Pllc | |
|
519 S Carroll Blvd Ste 100 Denton TX 76201-7412 | |
| (940) 230-2003 | |
| (940) 222-4648 |
| Full Name | Balanced Life Counseling, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 519 S Carroll Blvd Ste 100, Denton, Texas |
| Authorized Official Name and Position | Emily A Wilson (OWNER / MANAGER) |
| Authorized Official Contact | 9402302003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Life Counseling, Pllc 519 S Carroll Blvd Ste 100 Denton TX 76201-7412 Ph: (940) 230-2003 | Balanced Life Counseling, Pllc 519 S Carroll Blvd Ste 100 Denton TX 76201-7412 Ph: (940) 230-2003 |
| NPI Number | 1699346007 |
|---|---|
| Provider Enumeration Date | 07/07/2021 |
| Last Update Date | 01/02/2024 |
| Certification Date | 01/02/2024 |
| Medicare PECOS PAC ID | 5395103923 |
|---|---|
| Medicare Enrollment ID | O20240604003302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699346007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Emily Ann Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972127348 PECOS PAC ID: 6204294838 Enrollment ID: I20240605000678 |
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