| Balanced Life Counseling Services Llc | |
|
140 S Broadway Ste 7 Pitman NJ 08071-2235 | |
| (844) 365-7676 | |
| Not Available |
| Full Name | Balanced Life Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 140 S Broadway Ste 7, Pitman, New Jersey |
| Authorized Official Name and Position | Kristen Valentine (OWNER) |
| Authorized Official Contact | 8443657676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Life Counseling Services Llc Po Box 275 Pitman NJ 08071-0275 Ph: (844) 365-7676 | Balanced Life Counseling Services Llc 140 S Broadway Ste 7 Pitman NJ 08071-2235 Ph: (844) 365-7676 |
| NPI Number | 1942612775 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 12/07/2014 |
| Medicare PECOS PAC ID | 3870715154 |
|---|---|
| Medicare Enrollment ID | O20141121000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942612775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05195300 (New Jersey) | Primary |
| Provider Name | Kristen Marie Valentine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013329838 PECOS PAC ID: 4789806068 Enrollment ID: I20141121001187 |
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