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Organization
BALANCED LIFE BEHAVIORAL HEALTH AND COUNSELING SERVICES, LLC
Active
Organization
BALANCED LIFE BEHAVIORAL HEALTH AND COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETH EKWE (OWNER OF ENTITY)
(240) 791-6150
Entity
Organization
Contact information
Practice address
516 N ROLLING RD STE 301, CATONSVILLE, MD 21228-4133
(240) 791-6150
Mailing address
10207 CHAUTAUQUA AVE, LANHAM, MD 20706-2038
(240) 791-6150
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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