Provider Demographics
NPI:1164314134
Name:LIFE BALANCE COACHING SOLUTIONS, LLC
Entity type:Organization
Organization Name:LIFE BALANCE COACHING SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ONTKO FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-760-6441
Mailing Address - Street 1:3480 PRESTON RIDGE RD STE 500
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5460
Mailing Address - Country:US
Mailing Address - Phone:404-895-5131
Mailing Address - Fax:
Practice Address - Street 1:3480 PRESTON RIDGE RD STE 500
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5460
Practice Address - Country:US
Practice Address - Phone:404-895-5131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty