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General NPI Number Information
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NPI Number | 1114634102
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Entity Type | Organization
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Legal Business Name | BALANCING LIFE & KIDS, INC.
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 01/25/2025
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Provider Practice Location Address
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Address Line | 106 GAY ST
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City | PHILADELPHIA
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State | PA
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Zip | 19127-1309
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Country | US
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Telephone | 484-558-0657
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Fax |
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Provider Business Mailing Address
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Address Line | 818 ALEXANDER AVE
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City | DREXEL HILL
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State | PA
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Zip | 19026-4402
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. KISHNA CELCE
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Credential | CTRC, CTS
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Telephone | 484-558-0657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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