Healthcare Provider Details

I. General information

NPI: 1689229700
Provider Name (Legal Business Name): BALANCE LIFE COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2019
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 N BRIDGE ST
LINDEN MI
48451-8623
US

IV. Provider business mailing address

215 S MAIN ST UNIT 112
LINDEN MI
48451-7004
US

V. Phone/Fax

Practice location:
  • Phone: 810-373-2053
  • Fax:
Mailing address:
  • Phone: 810-373-2053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY GRUBER
Title or Position: LPC
Credential: MA, LPC, NCC
Phone: 810-373-2053