Provider Demographics
NPI:1023363058
Name:MARC BEAUDIN'S COUNTERBALANCE SYSTEMS PLLC
Entity Type:Organization
Organization Name:MARC BEAUDIN'S COUNTERBALANCE SYSTEMS PLLC
Other - Org Name:COUNTERBALANCE SYSTEMS, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUDIN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:915-545-1520
Mailing Address - Street 1:1520 N CAMPBELL ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-4219
Mailing Address - Country:US
Mailing Address - Phone:915-545-1520
Mailing Address - Fax:915-545-1522
Practice Address - Street 1:1520 N CAMPBELL ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-4219
Practice Address - Country:US
Practice Address - Phone:915-545-1520
Practice Address - Fax:915-545-1522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62421101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty