Provider Demographics
NPI:1104627660
Name:BALANCED HEALTH CONSULTANTS, LLC
Entity type:Organization
Organization Name:BALANCED HEALTH CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:CHILD
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:706-523-0563
Mailing Address - Street 1:307 CHURCH ST STE C
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-2700
Mailing Address - Country:US
Mailing Address - Phone:706-489-9095
Mailing Address - Fax:
Practice Address - Street 1:307 CHURCH ST STE C
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-2700
Practice Address - Country:US
Practice Address - Phone:706-489-9095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty