Active NPIOrganization

Balanced Life Counseling LLC

Social Worker, Clinical in Wallingford, Connecticut

NPI Number1619634177
Practice location
45 Fair St, Wallingford, CT 06492-4208
Fax
—
Last updated
July 3, 2023

Balanced Life Counseling LLC is a healthcare organization based in Wallingford, CT. Balanced Life Counseling LLC practices in Wallingford, CT. The NPI Number for Balanced Life Counseling LLC is 1619634177. The current practice location address for Balanced Life Counseling LLC is 45 Fair St, Wallingford, CT 06492-4208 and can be reached out via phone at 860-901-7916.

Provider Profile Details

NPI Number
1619634177
Provider Name
Balanced Life Counseling LLC
Provider Entity Type
Organization
Address
45 Fair St, Wallingford, CT 06492-4208
Phone Number
860-901-7916
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Organization Subpart
No
Authorized Official
Samantha Nicole Forst, LCSW · Social Worker · 860-901-7916
Provider Enumeration Date
November 19, 2021
Last Update Date
July 3, 2023
Certification Date
July 3, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Fair St
Wallingford, CT 06492-4208
Zip
06492-4208
Phone Number
860-901-7916
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
2079 Killingly Cmns # 1019
Killingly, CT 06241-2190
City
Killingly
State
CT
Zip
06241-2190
Phone Number
860-901-7916

License Information

Taxonomy (1)
Clinic/Center, Adult Mental Health · 261QM0850X
Taxonomy (2)
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Balanced Life Counseling LLC?

The NPI number of Balanced Life Counseling LLC is 1619634177. It was assigned on November 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Balanced Life Counseling LLC?

Balanced Life Counseling LLC is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X).

Where does Balanced Life Counseling LLC practice?

The practice location is 45 Fair St, Wallingford, CT 06492-4208. The office can be reached at 860-901-7916 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619634177 directly on the NPPES registry website.

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