Balanced Life Behavioral Health and Counseling Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BALANCED LIFE BEHAVIORAL HEALTH AND COUNSELING SERVICES, LLC

Practice address

516 N Rolling Rd Ste 301
Catonsville, MD 21228-4133

Phone

(240) 791-6150

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By 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

Benneth Ekwe

Title

Owner of Entity

Phone

(240) 791-6150

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1508641309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10207 CHAUTAUQUA AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062038",
            "telephone_number": "240-791-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 301",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284133",
            "telephone_number": "240-791-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE BEHAVIORAL HEALTH AND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "EKWE",
        "authorized_official_first_name": "BENNETH",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "240-791-6150"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rivka Bagley, OTR/L
• Bahman Guiv DDS PA
• Giovanna Ama Baisie-Arthur, M.S, NCC, LCPC
• Justin Sean Baker, PA-C
• Faezeh Bakhtiari-Nejad, DPM
• Kelsey Ball-Fomengia
• Michael Sandor Ballo, M.D.
• Balm Healthcare Services
• Allen T Banegura, M.D.
• Doreen Bannerman, CRNP

• Psychiatric/Mental Health Nurse Practitioner in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.