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General NPI Number Information
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NPI Number | 1720663909
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Entity Type | Organization
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Legal Business Name | ESSENCE OF BALANCE: ADDICTIONS AND RECOVERY COUNSELING, LLC
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Dates
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Enumeration Date | 03/10/2021
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 701 GERVAIS ST STE 150-158
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City | COLUMBIA
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State | SC
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Zip | 29201-3066
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Country | US
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Telephone | 803-673-8608
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Fax |
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Provider Business Mailing Address
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Address Line | 137 ROSEBERRY LN APT 2343
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City | COLUMBIA
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State | SC
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Zip | 29223-2871
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Country | US
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Telephone | 803-673-8608
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR A
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Name | ALEXA A WILLIAMS
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Credential | LPCA
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Telephone | 803-386-1646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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