Organization
BALANCED LIFESTYLES COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE DIANE GEORGE LCSW, RN (OWNER)
(801) 390-3447
Entity
Organization
Contact information
Practice address
5521 WOODLAND CIRCLE, OGDEN, UT 84401-5134
(801) 390-3447
Mailing address
5521 WOODLAND CIRCLE, OGDEN, UT 84401-5134
(801) 390-3447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1384993501
UT
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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