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General NPI Number Information
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NPI Number | 1386052157
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Entity Type | Organization
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Legal Business Name | BALANCE MENTAL HEALTH COUNSELING LLC
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 06/27/2015
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Provider Practice Location Address
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Address Line | 1101 ARROW POINT DR SUITE 207
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City | CEDAR PARK
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State | TX
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Zip | 78613-7737
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Country | US
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Telephone | 512-826-1675
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Fax | 512-986-7161
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Provider Business Mailing Address
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Address Line | 1101 ARROW POINT DR SUITE 207
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City | CEDAR PARK
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State | TX
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Zip | 78613-7737
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Country | US
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Telephone | 512-826-1675
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Fax | 512-986-7161
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Authorized Official
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Title or Position | THERAPIST
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Name | JUNE KATHRYN WILLIAMS
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Credential | LPC
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Telephone | 512-826-1675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 68811
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License Number State | TX
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