MEDICARE: BALANCE COUNSELING AND RECOVERY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1194341016
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCE COUNSELING AND RECOVERY, LLC

Provider Business Mailing Address
First Line	:	116 7TH ST NW
Second Line	:	ST 201
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2400
Country	:	US
Telephone Number	:	234-209-9686
Fax Number	:	234-209-9686

Provider Business Practice Location Address
First Line	:	116 7TH ST NW
Second Line	:	ST 201
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-2400
Country	:	US
Telephone Number	:	234-209-9686
Fax Number	:	234-209-9686

Authorized Official
Title or Position	:	OWNER
Name	:	JANET RICHARDS
Credential	:	LPCC-S
Telephone Number	:	234-209-9686

Provider Enumeration Date	:	06/17/2020
Last Update Date	:	02/01/2024

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