Provider Demographics
NPI:1932724028
Name:BALANCING EDEN COUNSELING LLC
Entity type:Organization
Organization Name:BALANCING EDEN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LICENSED PROFESSIONAL COUNSEL
Authorized Official - Prefix:MS
Authorized Official - First Name:ASHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:859-321-8050
Mailing Address - Street 1:211 JASMINE COVE CIR
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-7170
Mailing Address - Country:US
Mailing Address - Phone:859-321-8050
Mailing Address - Fax:
Practice Address - Street 1:2607 WOODRUFF RD STE E-1069
Practice Address - Street 2:
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29681-4803
Practice Address - Country:US
Practice Address - Phone:864-214-6393
Practice Address - Fax:864-568-7250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-15
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health