Organization
BALANCED LIFESTYLE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JULIA ELIZABETH OVALLE MSW (LICSW)
(603) 828-5185
Entity
Organization
Contact information
Practice address
141 CONCORD WAY, PORTSMOUTH, NH 03801-3405
(603) 828-5185
Mailing address
141 CONCORD WAY, PORTSMOUTH, NH 03801-3405
(603) 828-5185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1763
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730490335
NPI
NH
01
—
1801331772
TYPE 2 NPI
NH
Enumeration date
12/30/2016
Last updated
05/02/2025
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