Organization Active NPI

Balanced Wellness & Counseling LLC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1710494265
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12613 Issued in FL
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

Updated by the provider on Jan 5, 2018

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.