Active NPI
Balanced Wellness & Counseling LLC
- Mental Health Counselor
- Gainesville, FL
National Provider Identifier
1710494265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12613
- Legal business name
- BALANCED WELLNESS & COUNSELING LLC
- Practice address
- 1204 NW 69TH Ter Ste F
Gainesville, FL 32605-3139 - Phone
- (352) 281-0034
- Fax
- (352) 505-5045
- NPI assigned
- Jan 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nicole Marie French, LMHC
- Title
- Therapist
- Phone
- (352) 281-0034
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12613 | FL | Primary |
Addresses
Primary practice location
1204 NW 69TH Ter Ste F
Gainesville, FL 32605-3139
Mailing address
1204 NW 69TH Ter Ste F
Gainesville, FL 32605-3139
Phone (352) 281-0034
National Provider Directory
National Provider DirectoryLocations
1204 NW 69th Ter
Ste F
Gainesville, FL 32605
Phone (352) 278-9040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515110400000",
"number": "1710494265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 NW 69TH TER STE F",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053139",
"telephone_number": "352-281-0034",
"fax_number": "352-505-5045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 NW 69TH TER STE F",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326053139",
"telephone_number": "352-281-0034",
"fax_number": "352-505-5045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED WELLNESS & COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-05",
"last_updated": "2018-01-05",
"status": "A",
"authorized_official_last_name": "FRENCH",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "352-281-0034",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.