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
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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