Live Balanced Counseling Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT0011342 Issued in GA

Legal business name

LIVE BALANCED COUNSELING SERVICES

Practice address

2140 McGee Rd Ste C700
Snellville, GA 30078-7018

Phone

(404) 547-1960

Fax

(770) 680-5715

NPI assigned

Jul 21, 2014

Last updated

Jan 14, 2019By 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

Lorna Beverly Bowen, LPC, LMFTNPI 1548734023

Title

Owner

Phone

(404) 547-1960

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Lorna Beverly Bowen, LPC, LMFT

  • Marriage & Family Therapist
  • Snellville, GA
  • NPI 1548734023

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1164839304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6194 WATERTON WAY",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583520",
            "telephone_number": "404-547-1960",
            "fax_number": "770-680-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 MCGEE RD STE C700",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300787018",
            "telephone_number": "404-547-1960",
            "fax_number": "770-680-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE BALANCED COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-547-1960",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC003243",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT0011342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12716726",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Snellville, GA
• Providers in Snellville, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.