Organization Active NPI

Behavior Balance, LLC

  • Professional Counselor
  • Loris, SC
National Provider Identifier
1235583378
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BEHAVIOR BALANCE, LLC
Practice address
3439 Casey St
Loris, SC 29569
Phone
(843) 756-7171
Fax
(843) 756-7176
NPI assigned
Apr 14, 2016
Last updated
Jul 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Mr. Howard Calhoun, LPCS,NPI 1093886277
Title
President/Ceo
Phone
(843) 756-7171

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
Professional Counselor 101YP2500X SC Primary

Addresses

Primary practice location

3439 Casey St
Loris, SC 29569

Mailing address

586 Highway 701 N
Suite a
Loris, SC 29569-2473
Phone (843) 756-7171

Other names 1

  • Behavior Balance, LLC Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1235583378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 HIGHWAY 701 N",
            "address_2": "SUITE A",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "295692473",
            "telephone_number": "843-756-7171",
            "fax_number": "843-756-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3439 CASEY ST",
            "city": "LORIS",
            "state": "SC",
            "postal_code": "29569",
            "telephone_number": "843-756-7171",
            "fax_number": "843-756-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIOR BALANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-14",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "843-756-7171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCS,"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Behavior Balance, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Behavior Balance, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Loris, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.