Provider Demographics
NPI:1982442893
Name:BALANCE THERAPY AND COACHING
Entity type:Organization
Organization Name:BALANCE THERAPY AND COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ADCOCK-EDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:512-709-3576
Mailing Address - Street 1:1730 CANDEE ST
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-7818
Mailing Address - Country:US
Mailing Address - Phone:512-709-3576
Mailing Address - Fax:
Practice Address - Street 1:1730 CANDEE ST
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-7818
Practice Address - Country:US
Practice Address - Phone:512-709-3576
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty