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General NPI Number Information
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NPI Number | 1932724028
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Entity Type | Organization
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Legal Business Name | BALANCING EDEN COUNSELING LLC
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 2607 WOODRUFF RD STE E-1069
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City | SIMPSONVILLE
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State | SC
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Zip | 29681-4803
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Country | US
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Telephone | 864-214-6393
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Fax | 864-568-7250
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Provider Business Mailing Address
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Address Line | 211 JASMINE COVE CIR
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-7170
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Country | US
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Telephone | 859-321-8050
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Fax |
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Authorized Official
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Title or Position | OWNER/LICENSED PROFESSIONAL COUNSEL
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Name | MS. ASHA N GRIFFIN
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Credential | LPC
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Telephone | 859-321-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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