Healthcare Provider Details

I. General information

NPI: 1073434817
Provider Name (Legal Business Name): RESTORING BALANCE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 N ST
ANCHORAGE AK
99501-3285
US

IV. Provider business mailing address

PO BOX 870192
WASILLA AK
99687-0192
US

V. Phone/Fax

Practice location:
  • Phone: 785-320-1708
  • Fax:
Mailing address:
  • Phone: 785-320-1708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL SUE EDWARDS
Title or Position: OWNER
Credential: LCSW, LPC-S, CDCS
Phone: 785-320-1708