Balsam Counseling
Organization Active NPI Social Worker · Broadlands, VA
NPI 1265224596 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1265224596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- BALSAM COUNSELING
- Practice address
- 22118 Avonworth SQ
Broadlands, VA 20148-6008 - Phone
- (703) 429-0510
- NPI assigned
- May 21, 2025
- Organization subpart
- No
Authorized official
- Name
- Siema Eljack, LCSW
- Title
- Owner
- Phone
- (703) 429-0510
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
22118 Avonworth SQ
Broadlands, VA 20148-6008
Mailing address
22118 Avonworth SQ
Broadlands, VA 20148-6008
Phone (703) 429-0510
Other providers in Broadlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.