Provider Demographics
NPI:1225903131
Name:ESSENCE OF BALANCE: ADDICTIONS AND RECOVERY COUNSELING, LLC
Entity type:Organization
Organization Name:ESSENCE OF BALANCE: ADDICTIONS AND RECOVERY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-386-1646
Mailing Address - Street 1:701 GERVAIS ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-3066
Mailing Address - Country:US
Mailing Address - Phone:803-386-1646
Mailing Address - Fax:
Practice Address - Street 1:701 GERVAIS ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29201-3066
Practice Address - Country:US
Practice Address - Phone:803-386-1646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty