Balance Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006772 Issued in VA

Legal business name

BALANCE COUNSELING, LLC

Practice address

9409 Hull Street Rd
Suite D1
North Chesterfield, VA 23236-1200

Phone

(804) 745-2225

Fax

(804) 745-2242

NPI assigned

Dec 9, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Licia Thomas-Wagoner, LCSW

Title

Owner

Phone

(804) 745-2225

Specialties & licenses 1

Addresses

Other names 1

• Balance Counseling Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1013348598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9409 HULL STREET RD",
            "address_2": "SUITE D1",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361200",
            "telephone_number": "804-745-2225",
            "fax_number": "804-745-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9409 HULL STREET RD",
            "address_2": "SUITE D1",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361200",
            "telephone_number": "804-745-2225",
            "fax_number": "804-745-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS-WAGONER",
        "authorized_official_first_name": "LICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-745-2225",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balance Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Denise Bailey, RPH
• Latasha Darshalle Bailey, MSW, LCSW
• Clifton Richard Baker, NP
• Laketia Deshawn Baker, DSW, LCSW
• Lauren Elizabeth Baker, M.D.
• Balanced Behavioral Health, LLC
• Amyajh Baldwin
• Rollin Ballentine, PHARMD
• Deema Ballout
• Brian Balsimo, PHARM. D.

• Clinical Social Worker in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.