Organization
BALANCED LIFE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAIKE WEGNER-KLEINE M.S. (LMFT)
(404) 276-5933
Entity
Organization
Contact information
Practice address
4305 S LEE ST, SUITE 400, BUFORD, GA 30518-5783
(404) 276-5933
(404) 585-5004
Mailing address
3040 GOLDMIST DR, BUFORD, GA 30519-7821
(404) 276-5933
(404) 585-5004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFT001076
GA
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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