Organization Active NPI

Balance Life Therapy LLC

  • Social Worker
  • Paw Paw, MI
National Provider Identifier
1073397352
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BALANCE LIFE THERAPY LLC
Practice address
103 Hamilton St
Paw Paw, MI 49079-9213
Phone
(616) 283-7187
NPI assigned
Aug 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Elise Brown, LMSWNPI 1093327355
Title
Social Worker
Phone
(616) 283-7187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

103 Hamilton St
Paw Paw, MI 49079-9213

Mailing address

103 Hamilton St
Paw Paw, MI 49079-9213

National Provider Directory

National Provider Directory

Locations

417 Forest St
#642
Kalamazoo, MI 49001

1428 44th St SW
Wyoming, MI 49509
Phone (616) 410-7380

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1073397352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 HAMILTON ST",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 HAMILTON ST",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490799213",
            "telephone_number": "616-283-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE LIFE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "616-283-7187",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paw Paw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.