Organization
BALANCE TO WELLNESS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE LYNNE KEASLER LPC (OWNER)
(573) 872-4798
Entity
Organization
Contact information
Practice address
1600 W MAUD ST STE 2, POPLAR BLUFF, MO 63901-4726
(417) 860-3458
Mailing address
1600 W MAUD ST STE 2, POPLAR BLUFF, MO 63901-4726
(417) 860-3458
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/15/2022
Last updated
11/21/2022
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