Organization Active NPI

Life Balance Family Counseling PLLC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1699026211
Registry record updated Aug 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C004523 Issued in NC
Legal business name
LIFE BALANCE FAMILY COUNSELING PLLC
Practice address
10520 Ligon Mill Rd
100 D
Wake Forest, NC 27587-4575
Phone
(919) 414-8017
NPI assigned
Sep 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2015

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

Authorized official

Name
Cindy FryeNPI 1669579710
Title
LCSW/Owner
Phone
(919) 414-8017

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
Community/Behavioral Health Agency 251S00000X C004523 NC Primary

Addresses

Primary practice location

10520 Ligon Mill Rd
100 D
Wake Forest, NC 27587-4575

Mailing address

6648 Austin Creek Dr
Wake Forest, NC 27587-4219

National Provider Directory

National Provider Directory

Locations

10520 Ligon Mill Rd
#100D
Wake Forest, NC 27587
Phone (919) 414-8017

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1699026211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6648 AUSTIN CREEK DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 LIGON MILL RD",
            "address_2": "100 D",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874575",
            "telephone_number": "919-414-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BALANCE FAMILY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "919-414-8017"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C004523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.