| Balanced Life Counseling Services, Llc | |
|
560 Riverside Dr Ste B101 Salisbury MD 21801-4701 | |
| (410) 422-3823 | |
| Not Available |
| Full Name | Balanced Life Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 560 Riverside Dr Ste B101, Salisbury, Maryland |
| Authorized Official Name and Position | Laura F Harrison (THERAPIST/OWNER) |
| Authorized Official Contact | 4104223823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Life Counseling Services, Llc 5554 E Nithsdale Dr Salisbury MD 21801-2463 Ph: (410) 422-3823 | Balanced Life Counseling Services, Llc 560 Riverside Dr Ste B101 Salisbury MD 21801-4701 Ph: (410) 422-3823 |
| NPI Number | 1770084535 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 02/26/2018 |
| Medicare PECOS PAC ID | 4688937717 |
|---|---|
| Medicare Enrollment ID | O20180424001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770084535 | NPI | - | NPPES |
| 476737-000 | Other | MD | MAGELLAN |
| 7374385 | Other | MD | AETNA |
| 398872 | Other | MD | MHN |
| 615825-01 | Other | MD | CAREFIRST OF MD |
| 0010 | Other | MD | CARE FIRST BLUE CHOICE |
| 294041 | Other | MD | JOHNS HOPKINS HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10928 (Maryland) | Primary |
| Provider Name | Tina M Oakley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194809665 PECOS PAC ID: 9335165554 Enrollment ID: I20051018000268 |
| Provider Name | Angela M Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891882577 PECOS PAC ID: 2264535244 Enrollment ID: I20070312000507 |
| Provider Name | Patricia A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730276429 PECOS PAC ID: 2769530682 Enrollment ID: I20090504000383 |
| Provider Name | Kelly Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235245044 PECOS PAC ID: 5193852416 Enrollment ID: I20100419000451 |
| Provider Name | Laura F Harrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982782397 PECOS PAC ID: 8123210903 Enrollment ID: I20101012000706 |
| Provider Name | Amy Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306257316 PECOS PAC ID: 2567680457 Enrollment ID: I20140908000928 |
| Provider Name | Anne Rachel Hoffman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255452322 PECOS PAC ID: 9931499647 Enrollment ID: I20160609000308 |
| Provider Name | Reginald Shockley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619046919 PECOS PAC ID: 4082962766 Enrollment ID: I20180813002779 |
| Provider Name | Kathrine Travers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215401096 PECOS PAC ID: 5496183204 Enrollment ID: I20200310000566 |
| Provider Name | Paula M Erdie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578186888 PECOS PAC ID: 8426473166 Enrollment ID: I20200729000919 |
| Provider Name | Tamara M Dougherty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164790663 PECOS PAC ID: 5991154916 Enrollment ID: I20231215000029 |
| Provider Name | Morgan M Wixon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467981530 PECOS PAC ID: 6103275037 Enrollment ID: I20240212001972 |
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