Healthcare Provider Details

I. General information

NPI: 1578467999
Provider Name (Legal Business Name): BALANCED PATH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 HARKEY RD
BATESVILLE AR
72501-9239
US

IV. Provider business mailing address

130 HARKEY RD
BATESVILLE AR
72501-9239
US

V. Phone/Fax

Practice location:
  • Phone: 870-612-7820
  • Fax:
Mailing address:
  • Phone: 870-612-7820
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JACQUELINE REBECCA POLLITZER
Title or Position: CEO
Credential: LAC
Phone: 870-612-7820