Balanced Life Counseling, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFT001076 Issued in GA

Legal business name

BALANCED LIFE COUNSELING, LLC

Practice address

4305 S Lee St
Suite 400
Buford, GA 30518-5783

Phone

(404) 276-5933

Fax

(404) 585-5004

NPI assigned

May 17, 2010

Last updated

May 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maike Wegner-Kleine, M.S.NPI 1568670784

Title

LMFT

Phone

(404) 276-5933

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maike Wegner-Kleine, LMFT

  • Marriage & Family Therapist
  • Buford, GA
  • NPI 1568670784
  NPD (past) Authorized official
• Erika Johnson, LPC

  • Professional Counselor
  • Buford, GA
  • NPI 1790109072
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1144548033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 GOLDMIST DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197821",
            "telephone_number": "404-276-5933",
            "fax_number": "404-585-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 S LEE ST",
            "address_2": "SUITE 400",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185783",
            "telephone_number": "404-276-5933",
            "fax_number": "404-585-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "WEGNER-KLEINE",
        "authorized_official_first_name": "MAIKE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "404-276-5933",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "MFT001076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Roberts Bailey, COTA/L
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• Jeremy Jarabas Banas, PT, DPT
• Jillianne Banks
• Branden Tevon Barabino
• Karen Starook Barnes, LMFT, LPC
• Brenda Barnett, O.D.

• Community/Behavioral Health Agency in Buford, GA
• Providers in Buford, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.