Organization Name: | BALANCED PATH COUNSELING |
NPI Number: | 1023478187 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HERBERT COLE (OWNER) |
Mailing Address: | 8046 Roswell Rd Ste 101c Sandy Springs |
State: | GA US |
Postal Code: | 303507023 |
Phone Number: | 7708336052 |
Fax Number: | 8772620792 |
NPI Enumeration Date: | 03/02/2016 |
NPI Last Update Date: | 03/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |