Balanced Life Family Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BALANCED LIFE FAMILY COUNSELING, LLC

Practice address

11795 Northfall LN Ste 601
Alpharetta, GA 30009-7968

Phone

(404) 984-5004

NPI assigned

Dec 7, 2018

Last updated

Dec 7, 2018By 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

Dean Wagenbrenner, LPC

Title

Owner

Phone

(404) 984-5004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1544140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544140800000",
    "number": "1558832113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 TAYLOR OAKS DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761168",
            "telephone_number": "404-984-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11795 NORTHFALL LN STE 601",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097968",
            "telephone_number": "404-984-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED LIFE FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-07",
        "last_updated": "2018-12-07",
        "status": "A",
        "authorized_official_last_name": "WAGENBRENNER",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-984-5004",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Alpharetta, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.