Provider Demographics
NPI:1003422072
Name:TRUE BALANCE COUNSELING COLLECTIVE LLC
Entity Type:Organization
Organization Name:TRUE BALANCE COUNSELING COLLECTIVE LLC
Other - Org Name:TRUE BALANCE COUNSELING COLLECTIVE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER/SINGLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:443-377-0546
Mailing Address - Street 1:1602 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-1525
Mailing Address - Country:US
Mailing Address - Phone:410-825-6709
Mailing Address - Fax:
Practice Address - Street 1:1010 DULANEY VALLEY RD
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2702
Practice Address - Country:US
Practice Address - Phone:443-377-0546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-16
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty