Organization
BALANCED LIFE COUNSELING & COACHING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BENTON LMHC (CEO)
(580) 799-4624
Entity
Organization
Contact information
Practice address
10299 CYPRESS KNEE CIR, ORLANDO, FL 32825-9113
(580) 799-4624
Mailing address
10299 CYPRESS KNEE CIR, ORLANDO, FL 32825-9113
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235401258
NPI-1
—
Enumeration date
06/02/2021
Last updated
06/02/2021
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