Organization
LIVE BALANCED COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA BEVERLY BOWEN LPC, LMFT (OWNER)
(404) 547-1960
Entity
Organization
Contact information
Practice address
2140 MCGEE RD STE C700, SNELLVILLE, GA 30078-7018
(404) 547-1960
(770) 680-5715
Mailing address
6194 WATERTON WAY, LITHONIA, GA 30058-3520
(404) 547-1960
(770) 680-5715
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
APC003243
GA
106H00000X
Marriage & Family Therapist
Primary
MFT0011342
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12716726
CAQH
GA
Enumeration date
07/21/2014
Last updated
01/14/2019
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