| Balanced Life Counseling Services, Llc | |
|
1130 W Hayden Ave Ste 201 Hayden ID 83835-8747 | |
| (208) 714-1727 | |
| Not Available |
| Full Name | Balanced Life Counseling Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1130 W Hayden Ave Ste 201, Hayden, Idaho |
| Authorized Official Name and Position | Jami Walker (OWNER) |
| Authorized Official Contact | 2087141727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Life Counseling Services, Llc 2900 N Government Way # 174 Coeur D Alene ID 83815-3751 Ph: (208) 714-1727 | Balanced Life Counseling Services, Llc 1130 W Hayden Ave Ste 201 Hayden ID 83835-8747 Ph: (208) 714-1727 |
| NPI Number | 1639681224 |
|---|---|
| Provider Enumeration Date | 11/03/2017 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639681224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LCSW-37120 (Idaho) | Primary |
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