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General NPI Number Information
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NPI Number | 1639095359
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Entity Type | Organization
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Legal Business Name | BALANCED ALLIANCE GROUP LLC
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 153 CAROL LN
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City | TOLEDO
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State | OH
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Zip | 43615-6020
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Country | US
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Telephone | 419-297-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 153 CAROL LN
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City | TOLEDO
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State | OH
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Zip | 43615-6020
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Country | US
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Telephone | 380-269-6808
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LANAYA RENEE MCDONALD
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Credential | LPCC
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Telephone | 380-269-6808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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