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General NPI Number Information
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NPI Number | 1770084535
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Entity Type | Organization
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Legal Business Name | BALANCED LIFE COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 560 RIVERSIDE DR STE B101
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City | SALISBURY
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State | MD
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Zip | 21801-4701
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Country | US
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Telephone | 410-422-3823
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Fax |
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Provider Business Mailing Address
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Address Line | 5554 E NITHSDALE DR
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City | SALISBURY
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State | MD
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Zip | 21801-2463
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Country | US
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Telephone | 410-422-3823
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. LAURA F HARRISON
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Credential | LCSW-C
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Telephone | 410-422-3823
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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 | 10928
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License Number State | MD
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